Volunteer Application Form

Please complete all sections of this form with as much detail as possible and return to: Alex Nicholson-Evans, Volunteer Development Officer, Birmingham Museums & Art Gallery, Chamberlain Square, Birmingham, B3 3DH or via email to:

About You

Title / Please circle
MR MRS MISS MS OTHER
Name
Home Address / Postcode:
Home telephone number
Mobile telephone number
Email address
Date of Birth
(You must be over 16 to apply)
Do you have any access requirements? (e.g. large print, wheelchair access)

Volunteer Opportunities

Which volunteer role are you applying for?
Where did you see the role advertised?

Previous Employment Details

Please tell us about your previous work and volunteering experience. We ask for this information to give us a better idea of your skills and experience.

Dates / Name & Address of employer / Position held & main duties

Education, Skills and Interests

Please tell us if you have any academic qualifications, skills or interests which would help you bring more to this role?

Volunteering Availability

When are you able to volunteer with us?

AM / PM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Referees

We want to provide volunteers, staff and visitors with a safe and enjoyable experience across our sites and as a result we ask you to provide two references to support your application. We can’t accept relatives as referees, however, previous employers, people you have volunteered for in the past, or anyone you have a professional relationship with is fine. One of your references can be a friend, someone you have worked with or a fellow volunteer.

We will approach your references soon after receiving your application.

Referee 1

Name
Relationship to you
Telephone
Email address
(Or if unknown, postal address)

Referee 2

Name
Relationship to you
Telephone
Email address
(Or if unknown, postal address)

Please feel free to attach your CV to your application form.

Thank you for your interest.

Volunteer Recruitment Monitoring

Birmingham Museums Trust is committed to equality of opportunity and welcomes applicants from all sections of the community.

To help us monitor our volunteer recruitment, please complete the following information, which will be detached from your application before the short-listing process, and kept anonymous.
Your co-operation in completing this form would be appreciated.

Personal Information

Post applied for:…………………………………………………………………..

Age: ………………... Gender: Female  Male 

How would you describe your Ethnic Group? (Please tick the appropriate box)

White
 British
 Irish
 Any other white background / Mixed
 White & black Caribbean
 White & black African
 White & Asian
 Any other mixed background / Asian or Asian British
 Indian
 Pakistani
 Bangladeshi
Any other Asian background
Black or Black British
 Caribbean
 African
 Any other black background / Other Ethnic Groups
 Chinese
 Any other Ethnic group

Disability

Under the definition provided by the Equality Act 2010 and the Disability Discrimination Act 1995 (having a physical or mental impairment which has a substantial and long-term adverse effect on your ability to carry out normal day-to-day activities), do you consider yourself to be disabled?  YES /  NO

Please give details, if you feel appropriate to do so: ……………………………………………………………………………………………….