Pituitary Foundation OV Application Form
Ver. 31st March 2012
Page 1
Volunteer Application Form
OfficeVolunteer
We are really pleased that you are interested in applying to be a volunteer for The Pituitary Foundation. We depend on hundreds of volunteers across the United Kingdom to provide support and information to the pituitary community. We take our responsibility to our community seriously, therefore, we ask all volunteers to go through an application and vetting procedure.
All information will be treated as strictly confidential and will be used only by staff and vetted volunteers. The information you provide will be held on file at The Foundation.
Title…………..………
Name …………………………………………………………………………….…
Address……………………………………………………………………………………………………...
……………………………………………………………….…
Postcode ………………………......
Telephone Number(s)Home …….………...……………….. Work ………………………………....…
E-mail Address(es)Home …….………...……………….. Work ………………………………....…
Are you: / Please tick / How did you find out about The Pituitary Foundation? / Please tickA patient
A carer
A parent
Other / From a consultant/endocrine nurse/clinic
From a GP
From The Pituitary Foundation Website
From a Pituitary Foundation Leaflet/Newsletter
If other, please specify: / From a Pituitary Foundation Support Group
From a friend/family member
Other, please specify: ______
Please indicate what motivated you to apply to be a volunteer for The Pituitary Foundation:
Do you have any experience as a volunteer? If so, please include details.
What is your main goal to fulfil whilst volunteering for us?
What specific skills and experience do you have that you’d really like to use whilst volunteering for us?
After reading the role description you have been sent, do you feel you can fulfill the tasks listed?
Please tick: Yes No I may need to talk to someone about the tasks on the role description
Specifications: Exploring the role description, please answer the question with a yes or a no, or circle the rating that best applies to you. Please note by ticking no or circling a low rating you will not be eliminating yourself from the role, instead it will give us an indication of what training may be required.
Our office volunteers should be organised, please rate your organisational skills. / 5 Extremely organised
4 Very organised
3 Organised
2 Not very organised
1 This is not my strong suit
Good communication skills play an important part in this role, please rate your verbal and written communication skills. / Verbal
5 Excellent
4 Good
3 Fair
2 Could be better
1 This is not something I enjoy / Written
5 Excellent
4 Good
3 Fair
2 Could be better
1 This is not something I enjoy
Being IT literate is not essential in this role but it is a helpful skill, please rate the your IT skills in the following areas, please circle the rating that best describes your abilities:
Outlook / 5 Excellent
4 Good
3 Fair
2 Could be better
1 I do not have working experience of this / Word / 5 Excellent
4 Good
3 Fair
2 Could be better
1 I do not have working experience of this
Publisher / 5 Excellent
4 Good
3 Fair
2 Could be better
1 I do not have working experience of this / Internet / 5 Excellent
4 Good
3 Fair
2 Could be better
1 I do not have working experience of this
Excel / 5 Excellent
4 Good
3 Fair
2 Could be better
1 I do not have working experience of this / Databases / 5 Excellent
4 Good
3 Fair
2 Could be better
1 I do not have working experience of this
PowerPoint / 5 Excellent
4 Good
3 Fair
2 Could be better
1 I do not have working experience of this / Other (Please state: / 5 Excellent
4 Good
3 Fair
2 Could be better
1 I do not have working experience of this
Due to the responsibility involved with voluntary work, please supply the information for two people who could provide you with a reference. One referee should be a person in a position of authority e.g. Pastor/Reverend, past or current employer, doctor, nurse, teacher, etc. The second referee can be a friend but family members will not be accepted.
Pituitary Foundation OV Application Form
Ver. 31st March 2012
Page 1
Reference 1:
Title…………Name…………………………
Address………………………………………
…………………………………….…………
……………………………………………….
Telephone……………………………......
Relationship to you………………………….
How long have you have known referee?
……………………………………………….
Reference 2:
Title…………Name…………………………
Address………………………………………
…………………………………….…………
……………………………………………….
Telephone……………………………......
Relationship to you………………………….
How long have you have known referee?
……………………………………………….
Pituitary Foundation OV Application Form
Ver. 31st March 2012
Page 1
All applications for a volunteer role are processed. Therefore we recommend getting in touch with your referees to let them know that they will be contacted by The Pituitary Foundation.
Please return this form to:
The Pituitary Foundation, 86 Colston Street, Bristol BS1 5BB
Thank you for your application. We will be in contact with you shortly.
Pituitary Foundation OV Application Form
Ver. 31st March 2012
Page 1