Register as a volunteer

Contact details

*Salutation:

Select Mr Ms Mrs Miss Dr Rev

*First name:

*Last name:

*Address line 1:

Address line 2:

*Town:

*Postcode:

Daytime telephone:

In full national format starting with zero

Evening telephone:

In full national format starting with zero

Mobile:

In full national format starting with zero

*Email:

Personal information

*Date of birth:

Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

*Gender:

Male    Female   

Current employment status:

Select Employed Employed part-time Non-employed Houseperson Retired Student Unable to work Unemployed

What ethnic group do you feel you are in?

Select White British White British (English) White British (Scottish) White British (Welsh) White Irish Bangladeshi Chinese Indian Pakistani Black African Black Caribbean White and Asian White and Black African White and Black Caribbean Other Asian background Other Black background Other Mixed background Other White background Any Other Background

Nationality:

Select American Australian Brazilian British Canadian Chinese Danish Dutch English New Zealander French German Greek Italian Japanese Northern/Republic Irish Norwegian Polish Saudi Arabian Scottish South African Sri Lankan Swedish Welsh

Religion:

Select Buddhist Christian Hindu Muslim Sikh Other

What is your disablility status?

Select Not Disabled Registered Disabled Self-Classified

If you have a medical condition which may affect your ability to volunteer, please give brief details:

How did you hear about this volunteer centre?

Your interests

Areas of interest:

Please click on no more than five.

• Animals
• Art and Culture
• Children
• Disability
• Disaster Relief
• Domestic Violence
• Drugs and Addictions
• Education and Literacy
• Elderly
• Emergency Services
• Employment
• Environment
• Families
• Gay, Lesbian, Bi and Transexual
• Health and Hospital and Hospices
• Heritage
• Homelessness and Housing
• Human and Civil Rights
• International Aid
• Legal Aid and Justice
• Mental Health
• Mentoring
• Museums
• Music
• Politics
• Prisoners and Ex-Offenders
• Race and Ethnicity and Refugees
• Religion
• Sport and Outdoor Activities
• Women's groups
• Youth

Types of activity:

Please click on no more than five.

• Administration
• Advice, Information and Support
• Architecture and Building Work
• Art
• Befriending and Buddying
• Business, Management and Research
• Campaigning and Lobbying
• Caring
• Catering
• Community Work
• Computers, Technology, Web Design
• Counselling
• Driving
• Employee and Group Volunteering
• Entertainment
• Finance Work
• First Aid
• Fundraising
• Gardening
• General and Helping
• Hostel Work
• Languages
• Legal Work
• Marketing, PR and Media
• Practical Work and DIY
• Retail and Charity Shops
• Sports Development
• Teaching, Training and Coaching
• Trusteeship and Committee Work
• Under 16 Volunteering

Driving

If you answer no to the first question below, ignore the others in this section

Do you have your own transport?

yes    no   

Are you prepared to use your own vehicle?

yes    no   

Are you prepared to insure your vehicle for driving on voluntary work?

yes    no   

How far are you prepared to travel to your volunteer placement?

Select 5 miles 10 miles 25 miles

Experience and availability

Give brief details of any previous voluntary experience:

When are you available to volunteer?

Click the boxes for the days and times on which you can usually volunteer.

	Mon	Tue	Wed	Thu	Fri	Sat	Sun
Morning
Afternoon
Evening

Note here any other details of when you will be available to volunteer (weekly, monthly etc):

*If a DBS check is required, are you happy to have one carried out?

yes    no    undecided   

 

By clicking on Submit form, you confirm that the information you provide is true to the best of your knowledge. You also confirm that you understand that the information you give will be processed by us in accordance with the principles of the Data Protection Act 1998 and our own privacy policy.