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
All fields marked with an asterisk are mandatory.
Your details
What was your pet called?
Title
Mr
Mrs
Miss
Ms
Other
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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
Email
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Please enter a valid email address
Phone number
Please enter a valid telephone number
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
Mr
Mrs
Miss
Dr
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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
Scotland
North
North East
East
South East
Midlands
South
South West
Northern Ireland
Republic of Ireland
Wales
West
Isle of Man
Channel Islands
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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
Please ensure this field is filled out.
Total RNLI voluntary service years/months e.g 20 years 1 month *
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Completion