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Volunteer Form
Thank you for your interest in becoming a volunteer for PoTS UK.
*
1.
Full name
(Required.)
*
2.
Are you over 18 years old
(Required.)
Yes
No
Would you be happy to share your D.O.B below to be added to our Birthday card list (this is completely optional)
*
3.
Home address
(Required.)
*
4.
Email address
(Required.)
*
5.
Phone number
(Required.)
6.
Why do you want to volunteer for PoTS UK?
7.
What skills/expertise do you have that you feel will benefit PoTS UK?
8.
How many hours per month can you help?
9.
Do you have any additional needs that we should be aware of in order for us to support you in this role?
*
10.
Do you have any convictions or conditional cautions which are currently unspent under the Rehabilitation of Offenders Act 1974? [You do not need to disclose anything that is ‘spent’].
(Required.)
Yes
No
If you have answered Yes then please provide details.
11.
Is there anything else you would like to tell us?
*
12.
We would be grateful if you could provide the details for two referees who would be able to provide us with either a job or character reference for you.
(Required.)
Name
Email Address
Phone Number
13.
Relationship to referee
Employer
Work colleague
Friend
Other (please try not to ask family members)
*
14.
Referee 2
(Required.)
Name
Email Address
Phone Number
15.
Relationship to referee
Employer
Work colleague
Friend
Other (please try not to ask family members)
