Volunteer Application Form

Your details will be treated confidentially and at no time will we provide any of your details to a third party without your permission except for introducing you to volunteer using organisations or if your or another person's safety is concerned. You can check the information we hold about you at any time.

Title: *

First name: *

Last Name: *

Address Line 1: *

Address Line 2:

Address Line 3:

Town: *

County:

Post Code: *

Telephone number: *

Email address:

Date of birth:

Age:

How did you hear about us?:

Why do you want to volunteer?:

Please tell us what field you'd like to volunteer in and what you'd like to do e.g. working with children, older people, disability, admin, IT, environment, gardening, charity shops: *

Maximum of 50 words.

Please tell us about any current or previous volunteering/paid work/skills:

Maximum of 50 words.

Equal Opportunities

For equal opportunities purposes please answer the following questions:

Please describe your ethnic origin:

Do you consider yourself to have a disability?:

Yes

News and events

In order to keep you up to date with news and events we may include you on our mailing lists and you are free to subscribe to our eNewsletter on-line.

If you'd like to go on our mailing list:

Click here

Confirmation of information

Please type your name and date below in confirmation that the information provided above is to the best of your knowledge correct. This information will be held confidentially by Volunteer Centre Merton and will not be shared with any third party except with organisations for the purposes of finding you a voluntary placement or if we believe your or another person's safety is concerned. Your details will be held in compliance with the Data Protection Act and you can inspect them at any time. Organisations may need references and if you are working with children or vulnerable adults a CRB check will be required.

Signed: *

Please type your name

Date: *