VOLUNTEER APPLICATION

Name *

First

Last

Address *

Address Line 1

City

State / Province / Region

Postal Code

Email *

Email

Confirm Email

Mobile phone number *

Date of birth *//

Ethnicity *

Do you speak any additional languages? *

Yes
No

(Including BSL)

Please select the language(s) you speak *

Other language(s) not listed above *

Do you hold a full UK driving licence? *

Yes
No

Do you have regular access to a car? *

Yes
No

Do you hold a First Aid Certificate? *

Yes
No

Please list any qualifications you hold *

For example, GCSEs, A-Levels, BTEC

Employment history *

(Include employer, role, duties, dates)

Employment status *

Please list current and previous volunteer work

(including brief description, duties, dates of service)

Do you have a disability / medical condition? *

Yes
No

If yes, please detail *

Are you entitled to volunteer in the UK? *

Yes
No

Please indicate below which role(s)* you are interested in *

*Dependent upon satisfactory DBS check

Reference 1 *

(Name, contact details, relationship to you)

Reference 2 *

(Name, contact details, relationship to you)

Social Media Accounts *

(Please provide links to any social media accounts you hold - or state none)

DATA PROTECTION & CONFIDENTIALITY (I declare the information I have provided is true. Please tick on 'I Agree' or 'I Disagree') *

I Agree
I Disagree

Your details will be kept in accordance with the Data Protection Act 1998. By selecting 'I agree' you are also agreeing not to disclose any information regarding the processes and details of the charity, and to maintaining confidentiality at all times.

UKeff is in Oldham.

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VOLUNTEER APPLICATION

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UKeff is in Oldham.

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