Volunteer Application Form

Name

First

Last

Job Title

Work Telephone

MobileTelephone

Work Address

Preferred Method of Contact

Phone

Mobile

Why would you like to volunteer for this project?

Have you volunteered before?

Yes

In what capacity have you volunteered before?

Do you have any experience of acting as a facilitator and motivating people?

Yes

What is your experience of using KPIs, measurement and performance management that you could bring to this project?

Please outline any experience you have of working in the charity/social enterprise space (NB. This is not a requirement) or which makes you suitable for this project:

What times would suit you best for meetings with the organisation (eg usual working hours/evenings etc)?

Health and Safety

Do you have a disability or a health issue (including pregnancy) which you would like us to take into account? (If yes, please give details below)

Yes

Please provide us with an emergency contact name and number* for someone we can get in touch with in case of an unlikely emergency when you are on-site at the organisation.

Name

Relationship

Number

This will be treated confidentially, and will be stored securely, and the emergency contact will only be contacted for that purpose.

Please tell us how you found out about this project (ie via which organization or website)

CONSENT and AGREEMENT

I confirm that:

The information I have given above is correct
I am able to commit my time to this project and work to the suggested timeframe

I understand that completing the application form does not guarantee a place on this project, and that my participation is subject to finding a suitable match.

Signature

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