Author: Owner

Organisation logo here

Volunteer application form

Name:
Address (physical):
Address (postal if applicable):
Phone: (home) (mobile)
Email:

Position applying for:

1. Have you worked in a voluntary capacity before? If so, please give details...

2. What appeals to you about this role?

3. What qualities or skills do you have that you think will benefit (organisation name)?

4. What do you hope to gain by working for (organisation name)?

5. Do you have any health concerns that may affect you while volunteering?

6. Have you had any criminal convictions within the last 10 years, or are you currently awaiting proceedings for any criminal offences?
Yes No

Referees: (organisation name may undertake referee checks for prospective volunteers. Please list two people (one must not be a friend or relative) who know you well, from whom we can obtain a character reference.

1. Name:
Relationship:
Telephone: (daytime) (mobile)
Email:

2. Name:
Relationship:
Telephone: (daytime) (mobile)
Email:

DECLARATION AND AUTHORISATION:
I certify that all information that I have provided to you is true, accurate and complete. I authorise you to contact my named referees to seek information from them that may be relevant to my application for voluntary service. I understand a Ministry of Justice check will be required.

Signed: Date: