Unit 6B (5) Hopton Industrial Estate, Devizes, SN10 2EU. Tel: 01380 720722/ 720200
VOLUNTEER APPLICATION FORM
Please complete and email to or post to:
KFR Volunteer Coordinator
Unit 6B (5) Hopton Industrial Estate
London Road
Devizes
SN10 2EU
Address:
Postcode: / First name:
Telephone:
Mobile:
Email:
Please tick the days and times you are available to volunteer:
Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
Morning
Afternoon
Or flexible times:
Which Department are you interested in working in? Please tick all that are appropriate
Admin/ Office / Electrical / Woodwork / Warehouse / Driver/Drivers mate
Are there areas you would not be willing/able to work in? (if so please state)
Why are you interested in volunteering with us?
Please state briefly your current or past work, volunteering, skills and interests:
Do you have any medical or health problems that we need to be aware of that may affect your role as a volunteer?
(Please describe your needs honestly so that any issues regarding your health and safety can be addressed)
Do you have any support needs/learning difficulties that we need to be aware of that may affect your role as a volunteer?
(Please describe your needs honestly so that any support plans can be put in place)
Are you currently employed? YES NO If no, please tick those that apply:
Looking after family / Retired / Looking for work / Asylum seeker
Unable to work for health reasons / Student / Other:
Declaration
I confirm that to the best of my knowledge the information given on this form is correct. I understand any offer of volunteering is subject to satisfactory references and that my details will be kept in accordance with the Data Protection Act 1998.
Print Name:
Signed: Date:
Charity Registration No. 1056649 Company No. 321338 VAT Reg. No. 729 0738 17