Applicant’s details
Name
Home Phone
Work
Mobile Address
Date of birth
E-mail
Name of Emergency Contact
Emergency Contact Phone number
Skills & Interests
Occupation (if applicable)
Skills
Hobbies/Interests
Previous Volunteer Experience
Do you have any special needs/requirements
Are there any client groups you would prefer NOT to work with?
Volunteering areas
Administration Website Fundraising Press & Publicity Events
Internship Other (please state):
Availability
At what times are you interested in volunteering? Flexible Weekdays Weekends Other
There are times in the week that I cannot do volunteer work
Do you have access to a car you can use for volunteer work? No Yes Occasionally
Disclosure
It is standard practice for all our volunteers to go through a Standard Disclosure procedure with the Criminal Records Bureau. If you have had a Standard Disclosure completed less than 6 months from the date of filling out this application form, you will not have to go through this process again. Please indicate here if you have a completed Standard Disclosure form Having a conviction will not necessarily prevent you from becoming a volunteer. Under the Rehabilitation of Offenders Act 1974 you are not required to declare any spent convictions.
References
Name and Phone Numbers of Two Personal Referees
Name phone
How did you hear about us?
Advertisement Organisation Volunteer
Word of Mouth Internet Other