Volunteer Application Form

Full name: *

Your email address

Full address & postcode

Contact telephone number

Date of Birth

Next of kin-name & relationship to applicant

Next of kin- Contact number

Do you hold a full UK driving license?

Do you have any driving convictions?

Do you suffer any long term medical conditions, including mental health issues

If yes please give further details

Please give details of any regular medications you may be taking.

That you are aware of do you have any allergies to anything?

Education & Training Date from- Date to- Name of establishment- Subject studied-Grade or Award

Please Give Details of Current employment. Start Date- Name of workplace - Brief Description Of Duties

Please Indicate What Type Of Volunteer Role You Are Applying For

If other please give details

For student roles please indicate when the placement is required from and to, which training establishment you attend and name of course.

Please indicate what days you are available to volunteer. Volunteers must commit to at least 1 day per week. Volunteer animal care hours are usually 10am to 6pm but can vary at different times of the year, for example evening animal care shifts are vital during the spring and summer months. During the winter months volunteers can often finish earlier.

Please tell us of any previous experience relevant to the position being applied for.

We ask that you can provide us with the details of 2 people that can give a reference Reference 1. Name of Person 1

Address of person 1

Telephone number and email address of reference 1

Reference 2 Name of person 2

Address of person 2

Telephone number & email of person 2

Have you ever been convicted by the courts, cautioned, reprimanded or given a warning by the police and/or had allegations made against you? (as the rehabilitation of offenders exemption order 1975 applies you must disclose convictions regarded as spent under the 'Rehabilitation of Offenders Act 1974)

If yes please give details

Due to the nature of our charity we have a duty of care to our animals, visitors and other volunteers, staff & students. Therefore do you give consent to carry criminal record checks (CRB) on you if required.

Please tell us why you would like to volunteer with us and how you can contribute to our charity.

The information you have provided in this form constitutes part of the terms of your volunteering contract should you be accepted. Please print name below to agree to the following statement. ' To the best of my knowledge, the information I have provided on this form is truthful.