Apply to be a community champion

Fill this form if you want to volunteer to be a community champion.

Before you start

  • you need to be over 18 and live or work in Ealing
  • your contact details will be shared with Ealing Council’s public health team

For details on how Ealing Council processes personal data, read our privacy notice

What happens next

We will contact you within 10 working days to arrange an informal chat where you can:

  • ask any questions about the community champions programme
  • talk to us about what matters to your community
  • tell us why you want to be a community champion  

It’s OK if you change your mind or your circumstances change, and you are not able to be a community champion. You can email us at any time at communitychampions@ealing.gov.uk, and we will take you off our database.

Filling in the form 

The form cannot be saved and each page will time out after 20 minutes. If you think you will need more time, prepare your answers before you start the form. This helps make sure your information is not lost. 

Copying and pasting answers into a form can cause an error. If pasted from Microsoft Word or PDF, these characters may show an error -.,'"£#:;=/\()?&+@!