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Volunteer Application
Section 1: Personal Details
First Name
*
Surname
*
Home Address
Home Address
*
Gender
*
Select
Male
Female
Postcode
*
Home Number
*
Mobile Number:
(please specify if it is not your own)
*
Email Address:
(please specify if it is not your own)
*
Do you drive?
*
Yes
No
DOB
*
Current Age:
*
Emergency contact name:
*
Emergency contact relationship to you:
*
Emergency contact numbers:
*
Current occupation
please provide details. If you are in school – which school/year:
*
T-shirt size
*
Small
Medium
Large
X Large
XX Large
Any medical information you feel we should know about?
Section 2: Experience
Do you have any experience working or volunteering with children? If so, please describe:
Please briefly state any other experience, qualifications or skills that you feel would enhance your volunteering at Lev Ariel (including any safeguarding training you have undertaken):
Please tick which programme(s) you would like to volunteer for?
Lev Sister/Brother
After-school homework
Parties/events/one-off opportunities
Section 3: References
We require two references from people unrelated to you who are:
1) Either a boss/colleague or a teacher
2) Someone who knows you in relation to working with children
Person 1 Name:
*
Person 1 Relationship:
*
Person 1 Email Address:
*
Person 1 Telephone Number:
*
Person 2 Name:
*
Person 2 Relationship:
*
Person 2 Email Address:
*
Person 2 Telephone Number:
*
I understand the extent and limitations of the insurance cover provided.
I attest to the accuracy of all the information in Section 4.
By signing here, I agree to any photographs of myself being used for publicity purposes, on leaflets, website or anywhere that LEV ARIEL sees fit.
Signature:
*
Date:
*
