Sign up to be a peer supporter

Your Name (required)

Your Email (required)

Telephone (required)

Your Date of Birth (required)

Address (required)

Have you had prior neonatal experience? (required)
YesNo

If yes, please tell us about your experience on a neonatal unit (required)

When did you leave the neonatal unit? (We ask all volunteers to have had a minimum of 2 years at home) (required)

If you answered no to having had prior neonatal experience, would you be happy to support siblings? This would include running workshops / play sessions. (required)
YesNo

If you answered no to having had prior neonatal experience, would you be happy to support generally on the ward? This would include running support workshops / craft sessions, signposting families to Leo's, helping on ward-based awareness days / national holidays. (required)
YesNo

Which days of the week are you able to support and how many hours? If you're a teacher and would like to help in the holidays please state below. (required)

Are you happy to do any of the following (please tick all that apply, we understand you may not feel comfortable to go back on to the neonatal unit you were on, we can ensure that doesn’t happen.)
Face-to-face supportEmail support

Which hospital would you like to volunteer at? (required)
James Cook University HospitalUniversity Hospital of North DurhamDarlington Memorial

All peer support volunteers will be required to do Leo’s peer support training and have a Trust induction course which will include an enhanced DBS check, safeguarding training and more, before you’re able to offer support to our families. All volunteers need to be over the age of 18 for direct parent peer support.

We look forward to working with you!