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Hoole Community Development TrustVolunteer Application Form

Please complete both sides of this form and return to Hoole Community Centre, Volunteer Application,Westminster Road, Chester, Cheshire CH2 3AU. If you have any questions please feel free to contact us on 01244 342741orand we will do our best to help.

Personal Details – All information supplied will be treated confidentially
Title (Ms/ Mr/ Mrs/ Miss/ Other):
First name: Surname:
Address :
Address:
Postcode:
Tel. No. (daytime): Mobile No.
Email:
Date of Birth: Age:
Gender:
Please give details of any experience, learning and/or skills you have which are relevant to the role(s) you are applying for:
Please give details of any relevant medical condition( e.g.allergies to bees, diabetes)
Do you consider yourself to have a disability? Yes/No
Is your tetanus protection up to date? Yes/No
If working outside it is recommended that you check with your doctor.
Please indicate √ the role(s) you would be interested in. Full role details enclosed / Mon / Tues / Wed / Thurs / Fri / Sat / Sun / Details
(xxx = no vacancy)
Library assistant / 2-7 / 2-5 / xxx / 2-5 / xxx / 10-1 / xxx
Café waiting on staff / xxx / xxx / xxx / xxx
Café cook/kitchen assistant / xxx / xxx / xxx / xxx
IT support/buddy / xxx / xxx
Social Media
Admin Assistant / xxx / xxx / xxx / xxx / xxx / xxx / xxx
Handyperson
Gardening assistant / xxx / xxx / xxx / xxx / xxx / xxx / xxx
Event Volunteer
General Volunteer / To help on as and when required/available
We are applying for funding and aim to supply uniform when volunteers have completed 30 hours of service. In anticipation of receiving funding please indicate your clothing sizes (S, M, L, XL) .
Fleece: / Polo Shirt:
Sweatshirt:

References and Emergency Contact:-

We would be grateful if you could provide the names and addresses of two referees to assist us (Please do not include relatives or people under the age of 18)

Referee 1:
Name:
Tel No:
Relationship to you: / Address
Post Code:
E mail:
Referee 2
Name:
Tel No:
Relationship to you: / Address
Post Code:
E mail:
In case of emergency, please contact:-
Name:
Tel No:
Relationship to you: / Address
Post Code:
E mail:
To comply with the Data Protection Act 1998, we need your permission before we take any images of you for promotional purposes. These images may be used on promotional material, on the website, social media and on display.
(Please sign one of the statements on the right.) / I give permission for my image to be used
Signature:
I do not give permission for my image to be used
Signature:
I certify that to the best of my knowledge, the information on this form is correct: / Signature:
Date:
For Hoole C D T use only
Completed form seen by:
(Please initial and date) / Volunteer Co-ordinator :
Centre Manager:
Café Manager: