Full Name:
Address:
Postcode:
Email address: / Title:
Date of Birth:
Telephone No:
Mobile No:
Name and telephone number of person to contact in case of emergency:
Name:
Relationship to you: / Telephone No:

TIME COMMITMENT

Please indicate when you are available to volunteer (days/mornings/afternoons/evenings/weekends):

Please indicate any times when you are definitely NOT available:

Please indicate whether you are able to commit short-term or long-term:

Short-term - 1 day to 3 month commitment Long-term - ongoing opportunities

Weekly basis Monthly basis

Any other comments

Please state how you would like to help Willow:

Office Administration (9am - 5pm) Supporting at Challenge events

Helping at events (e.g. quiz, dinner, golf day)

Fundraising in your community Volunteering at our Willow Shops

EMPLOYMENT

What is your current employment status? (please circle)

Full-time / Part-Time / Self-Employed / Unemployed / Retired

If applicable, please give details of the hours/days you are currently working:
Name and address of your most recent employer:
Position Held /Job Title:

PREVIOUS VOLUNTEER EXPERIENCE

Date From / Date To / Charity Name & Address / Job Title

SKILLS, HOBBIES & INTERESTS

Please state any skills you feel may be of benefit to your voluntary work at Willow including any computer packages you have experience of using, and any other hobbies or interests you have.

REFERENCES

Please note that charity regulations demand that we take up references for all new volunteers, even if they are personally known to us. Please therefore give the names of two people to whom we can write:

1. Business Reference / 2. Personal Reference
Name / Name
Address / Address
Postcode: / Postcode:
Telephone No: / Telephone No:
Email: / Email:
Relationship: / Relationship:
Years known: / Years known:

How did you hear about the Willow Foundation?

DECLARATION
I am applying to volunteer with Willow. I certify that the information provided by me in this volunteer application form is correct. I agree to abide by the rules, procedures and confidentiality agreement of Willow.
Volunteer Applicant's Signature
Date

Once completed, please return to:

Chris West

Senior Community Fundraiser

Willow, Gate House, Fretherne Road, Welwyn Garden City, Herts, AL8 6NS

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Office Use Only

App Received: Volunteer Pack Sent:

Date Contacted:Date of Meeting:

References Contacted:Volunteering Commencement Date:

References Received: