Lifeboats

Request a Long Service Award

Please only fill this form in if you are a voluntary Volunteer Manager or a staff Volunteer Manager.

Your details Request Completion

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Your details

Title

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Other

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First name (include your first name in full)

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Please enter a valid first name

Last name

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Please enter a valid last name

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Please enter a valid email address

Phone number

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Your role (Staff or Volunteer Managers only)

Your branch/station/team

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Your staff manager

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RNLI number (CRM/Personnel)

Privacy

We will always store your personal details securely, and use them for the purpose of administrating your volunteer record. Details will be appended to your volunteer record and retained in line with our standard retention policy. We will only allow your information to be used by suppliers working on our behalf and we’ll only share it if required to do so by law. For full details see our Privacy Policy or contact our Supporter Experience Team on 0300 300 9918 (from the UK), 01 511 9837 (from the Republic of Ireland) or +44 1202 663234 (from outside the UK).

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Who you're nominating

Title

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First name

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Last name

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Their RNLI number (CRM/Personnel)

Initials and surname for engraving

Address line 1

Address line 2

Town

Postcode

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Branch, station or volunteering team

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Volunteer role

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Region

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Volunteer Service History (including breaks in service)

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Would the recipient like a badge or medal?

Badge

Medal

Medal Clasp – for those who already have a medal and now require their 30, 40, 50 or 60 year clasp

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Total RNLI voluntary service years/months e.g 20 years 1 month *

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Completion