THE WISHBONE TRUST - VolunteerApplicationForm_000

Transcription

THE WISHBONE TRUST - VolunteerApplicationForm_000
At which centre do you wish to help? (Please tick)
Cornwall❒
Berkshire❒
Somerset❒
London & Home Counties❒
Essex❒
Your details
Name:
________________________________________________________________
Address:
________________________________________________________________
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Postcode:
____________________________
Home Tel No: ___________________
Mobile No:
____________________________
Email address:______________________@______________________________________
How would you like us to contact you?
Phone: Mobile ❒
Home ❒
Email: ❒
Post ❒
Emergency Contact Details
Next of Kin:
____________________________________________________
Relationship to you:
____________________________________________________
Contact Tel No/s:
____________________________________________________
Which volunteer role/s are you interested in? (Please tick all those that apply)
You may need to talk to the volunteer coordinator at the centre to discuss what
volunteering opportunities are available.
Animal Volunteering
Dog life enricher
Cleaning Kennels/Cattery
Home checker
Small animal helper
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Dog Walking
Cat life enricher
Equine helper
Farm animal helper
Fundraising Volunteering
Individual Fundraising (jumble sales/coffee mornings/gift card sales)
Distributing & Collecting Collection Boxes
Distributing Leaflets & Posters
Help at Open Days (manning a stall, setting up, and promoting)
Help at external events, (i.e. county shows)
Cards for Good Causes Outlets (Christmas time at national locations)
Seasonal Admin Help -Trading Office - Watford (pricing cards, packaging etc)
Challenges (sponsored events, marathons, cycle rides etc)
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Other (please specify Volunteer Role) ________________________________________________
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When would you be available to volunteer? (Please tick all those that apply)
Monday ❒ Tuesday ❒ Wednesday ❒ Thursday ❒ Friday ❒ Saturday ❒ Sunday ❒
Times available:_____________________________________________________________
Are you registered Disabled? Yes / No
If yes, can you please give brief details of your disability:____________________________
__________________________________________________________________________
__________________________________________________________________________
Referees:
Due to the nature of some of our Volunteer Roles, for example working with
animals/handling cash, we request that you supply details of two people we can contact for
a reference. If possible, one of these should be a professional referee such as a current or
previous employer.
Name:
________________________________________________________________
Address: ________________________________________________________________
__________________________________________________________________________
______________________________
Postcode:
______________________
Tel No: _______________________
Other Tel No:
______________________
Relationship to you:_______________________________________________________
Name:
________________________________________________________________
Address: ________________________________________________________________
__________________________________________________________________________
______________________________
Postcode:
______________________
Tel No: _______________________
Other Tel No:
______________________
Relationship to you:_______________________________________________________
Experience:
Please tell us about any particular skills or experience you have that would help you in the
roles you are offering to undertake. (Expand on additional paper if necessary)
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Volunteer Signature _________________________Date ___________________________
Please note, we are unable to accept volunteers under 16 years of age.
Before commencing any volunteering work with the Trust you will be required to sign the
Volunteer Policy. It is not intended that a volunteer should have the status of employee
or worker in relation to the volunteering activities undertaken or that they should derive a
personal benefit from undertaking such activities.
Volunteers’ details are stored on computer and your details will be used in connection
with your voluntary work within NAWT. Details will also be used for customer services,
profiling your preferences and fundraising. If you do not wish your details to be used in
this way, please tick the box
Please complete & return this form to the Volunteer Coordinator at the
centre you are interested in helping.
Thank You
The National Animal Welfare Trust is a registered charity in England & Wales
Registered charity number: 1090499
Head Office: Tylers Way, Watford-By-Pass, Watford, Hertfordshire, WD25 8WT