Volunteer Application Form

Volunteer role applying for:
Click here to enter text. /

Part 1 – Personal details

Title: / Click here to enter text. / Current Address:
First name(s): / Click here to enter text. / Click here to enter text.
Surname: / Click here to enter text. /
Daytime tel: / Click here to enter text. /
Mobile tel: / Click here to enter text. /
Email: / Click here to enter text.
Date of Birth: / Click here to enter text. /

Part 2 – About you

Employment/Work Experience - Please give brief details of your recent employment history and/or relevant work experience or volunteering.

Date / Name of employer / Position
Click here to enter text. / Click here to enter text. / Click here to enter text.

Your strengths - What particular skills, qualifications and experience do you feel you would bring to this volunteering role?

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Your goals –Please tell us why you would like to volunteer for Norfolk at the Pictures.

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Your employment status

Employed
(full-time) / Employed (part-time) / Unemployed / Retired / Student
(full-time) / Student
(part-time)
☐ / ☐ / ☐ / ☐ / ☐ / ☐ /

Part 3 – Availability

Approximately how many half days would you like to volunteer each month? Choose an item.

Please select days when you would usually be available to volunteer.

Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday
Morning / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ /
Afternoon / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ /

Part 4 – Declaration

Please add yes/no as appropriate.

Do you have the right to work in the UK?
Please note: if you do not have the right to work in the UK you run the risk of deportation by volunteering.
Do you have a disability or specific need for which special arrangements or adjustments are needed for the volunteering role or any interview?
All information is strictly confidential. If yes, we may contact you in confidence to discuss your requirements.
We will request details of two referees who can comment on your suitability for volunteering. Some volunteer roles may require an additional Disclosure and Barring Check (formerly a Criminal Record check.)
Are you willing for these checks to be carried out if necessary?

Please confirm by signing below or typing ‘I AGREE’.

I declare that the information I have given is, to the best of my knowledge and belief, true and complete.

Signed: / Click here to enter text. / Date: / Click here to enter text. /

Please complete and return

Please return this completed form by email to:

Marc Atkinson

Cinema City,

St Andrews Street

Norwich

NR2 4AD

If you have any questions about the role, please get in touch with Marc at the address above.

Data Protection: The information that you have provided is required to administer your interest in volunteering with Norfolk at the Pictures. It will be held securely on the volunteer databaseand in line with the requirements of the Data Protection Act 1998.

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