Thank You for Completing This Form, Please Send Back To

Today’s Date of Date: birth:

Full Name:

Address:

Phone:

Email:

Do you work Do you consent to in or are you YES / NO having an enhanced YES / NO a resident of Disclosure and Camden or (Please Circle One) Barring (DBS) check? (Please Circle One) Islington? When are MO TUES WEDS THURS FRI you able to N volunteer? AM (10-2)

PM (1-5)

How often would you like to volunteer?

Why do you want to become a volunteer with HoardingUK ?

Please detail Dates Organisation Role and any previous responsibilities voluntary or professional experience.

If you need more space, please feel free to adapt the form to suit your needs. You can extend/reduce areas if you are typing the form. You can insert blank sheet if hand writing it.

Data Protection: Information from this application may be processed for purposes registered by HoardingUK under the Data Protection Act 1998. Individuals have, on written request, the right of access to personal data held about them. By completing this form you are giving your consent to HoardingUK processing the data supplied in this form for the purpose of recruitment and selection of volunteers. HoardingUK will only keep records of your personal details for as long as it is relevant to do so.

Thank you for completing this form, please send back to: Address: Megan Karnes, HoardingUK Suite 210 Davina House, London EC1V 7ET Email: [email protected]. For queries please contact Megan on 07908 22 55 11

Volunteer References Please give details of two references (paid / voluntary). At least one of these should be your present / most recent employer. If you are unable to provide two employment references please provide details of someone who can provide a personal / character reference.

Please note that we will not be able to start your voluntary position until we receive two satisfactory references. We reserve the right to take up additional references if we consider this to be necessary.

Please provide as much information as you are able. All information is not required.

Referee One Referee Two Name: Name: Address Address

Postcode: Postcode:

Telephone Number: Telephone Number: Please delete as appropriate to indicate Please delete as appropriate to indicate the capacity in which the referee knows the capacity in which the referee knows you: you: Present Employer : Yes / No Present Employer : Yes / No Previous Employer: Yes / No Previous Employer: Yes / No Other (please detail): Other (please detail):

Thank you for taking the time to complete this application. We look forward to discussing it with you. Please allow up to four weeks for a reply.