Volunteer application form

[To fill in this form electronically, please press tab to move through the document.]

Your details

Name:

Address:

Postcode:

Preferred contact number:

Email:

Occupation:

Role Applied for:

Motivation

What interests you about the role you have applied for at Endometriosis UK:

Availability

Please give details about how many hours you would be available for per week :

Are you prepared to attend annual training? (All expenses are paid for by the charity) YES NO

Knowledge

Registered Charity No. 1035810. Company Limited by Guarantee No: 2912853 Do you have any prior knowledge of endometriosis? Please give details:

Relevant skills

What qualities and skills that you have gained from your personal work, studies or voluntary experience do you think you can bring to a volunteer role at Endometriosis UK:

It would be helpful if you could give us some information about you as a person – your interests, work, study etc.

Referees Please give us the names and addresses of two people who can confirm your suitability for this role. Your referees cannot be family members.

REFEREE 1

Registered Charity No. 1035810. Company Limited by Guarantee No: 2912853 Name:

Address:

Postcode:

Daytime telephone:

Email:

Please tell us how you know this person:

REFEREE 2

Name:

Address:

Postcode:

Daytime telephone:

Email:

Please tell us how you know this person:

Signature (if filling out in hard copy) Date: (dd/mm/yy): / /

When completed, please return this form to our Support Network Officer at [email protected]

For further information: t: 020 7222 2781, www.endometriosis-uk.org

Registered Charity No. 1035810. Company Limited by Guarantee No: 2912853