Volunteer Application Form (online)

Full name including title (e.g. Mr, Mrs, Miss etc,.):

First name by which you prefer to be known:

Maiden Name:

Marital Status:

Date of birth (DD/MM/YYYY):

Age:

Address:

Day Tel:

Evening Tel:

Fax No:

Mobile No:

E-mail address:

Minicom:

Do you have a full driving licence?:

Is your driving licence clean?:

If no, please give reasons why?:

Do you have regular use of a car?:

Occupation (or former ocupation):

What are your hobbies and interests?:

Have you previously made an application to join Deafness Support Network?:

If so, please give details:

Why do you want to be a volunteer?:

Have you worked for other voluntary groups involved in helping people? If so, please give details:

Do you have any sign language experience?:

If so, what stage are you at?:

Please list if you have any skills e.g. in Communication, Care/Support Work, Office Work, Computers, Newspaper Editing, Creating Databases etc,.:

At what time(s) of the week are you available? Please check more than one box if applicable.:

Monday morning
Monday afternoon
Monday evening
Tuesday morning
Tuesday afternoon
Tuesday evening
Wednesday morning
Wednesday afternoon
Wednesday evening
Thursday morning
Thursday afternoon
Thursday evening
Friday morning
Friday afternoon
Friday evening
Saturday morning
Saturday afternoon
Saturday evening
Sunday morning
Sunday afternoon
Sunday evening

How much time can you contribute to Volunteering?:

Once a week
Once a fortnight
Once a month
Occasionally
Once a year

What areas would you like to volunteer in?:

Administration
Supporting Deaf tenants
Supporting Deaf Blind tenants
Committee Work
Deaf Awareness Days / Open Days
Assisting with transport?
Youth Work

Do you have any unspent criminal convictions?:

If yes, please provide additional information here:

Would you like to receive information on staff job vacancies at Deafness Support Network?:

Please give the names and addresses of two people who can be contacted to support your application (one preferably a present or previous employer, someone who knows you well but are not related to you).:

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