About You

Title*

Mr Mrs Ms Dr Rev

First Name*

Surname*

Address 1*

Address 2*

Postcode*

Tel Number* (day)

Mobile

email*

Gender*

Male Female Transgender Choose One

How did you hear about VCWF?*

What would you like to gain through volunteering?*

What do you expect from the Volunteer Centre?*

Do you have any previous volunteering experience? Please give brief details.*

Your Choices

Please indicate your areas of interest from the drop down list. You can select multiple items by holding down the CNTRL key. Mac users hold down the COMMAND (Apple) key

Animals Art & Culture Children Disability Disaster Relief Domestic Violence Drugs & Addiction Education & Literacy Elderly Employment Environment Families Gay, Lesbian, Bi & Transexual Health & Hospital & Hospices Heritage Homeless & Housing Human & Civil Rights International Aid Legl Aid & Justice Mental Health Mentoring Museums Music Politics Prisoners & Ex-Offenders Race & Ethnicity & Refugees Religion Sport & Outdoor Activities Women's Groups Youth

Please indicate your preferred activity or activities from the drop down list

Administration Advice Work Architecture & Building Work Art & Music Befriending Business & Management Campaigning & Lobbying Caring Catering Coaching Community Work Computers & Technology Counselling Entertainment Finance Work Fundraising Gardening Hostel Work Languages Legal Work Local Events Management Committees Marketing & PR & Media National/International Events Practical Work & DIY Retail & Charity Shops Sports Development Teaching & Training Website Design & Programming Youth Work

Your Availability

Please tell us about your availability. Put a tick in each box that corresponds to a time you think you will be available

Mon

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morning

afternoon

evening

More About You

The following section helps with our collection of statistics, and we use the information gathered to help promote greater social inclusion. These questions are optional

What is your current employment status

Employed Non employed House-person Retired Student Unable to work Unemployed Choose One

Which ethnic group do you feel you belong in

White British White Irish Other White Background Other Mixed Background Black African White & Black African Black Caribbean White & Black Caribbean Other Black Background Bangladeshi Chinese Indian Pakistani Turkish European Other Asian Background Any Other Background Choose One

Nationality

Immigration Status

Date of Birth

Do you consider yourself disabled (please tick one)

Yes No

If yes, are you (please tick one)

Registered Self classified

Sexuality

Heterosexual Bisexual Gay Lesbian Transexual Other Choose One

Thank you for filling in this form. Submission confirms that you have read our Privacy Statement and consent to our use of any information you give us for the purposes we have specified.

Ticking here confirms that you agree to this

We may contact you to advise you of new opportunities and other things we are doing. If you do not wish to be contacted or included in any mailing list held by the Centre – please tick

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