Volunteer Registration Form s3

Volunteer registration form About me Name (inc. title):

Address:

Postcode:

Tel: Mobile:

I am over 18 Yes No I am a UK resident Yes No

I have a full driving licence Yes No My interests My main areas of interest are:

I can offer the following skills, knowledge and expertise:

I am interested in volunteering at the following property / in the following role(s):

My reason for getting involved Please tell us what you hope to gain from volunteering with us: Boost confidence New challenges Have fun Work experience Learn something new Share skills Improve career prospects Help conserve our heritage Meet new people Other (please state)

My references Taking references helps us to ensure that the volunteering role is right for you. Please provide details of two referees who are over 18. One should be someone you know in a professional capacity, whilst the other can be a neighbour, friend or colleague. If you get stuck, we can help you think about who might be suitable to provide a reference.

Name: Relationship to you:

Address:

Postcode:

Tel / Mobile: Email:

Name: Relationship to you: Address:

Postcode:

Tel / Mobile: Email:

My emergency contact Please provide the details of someone we can contact in the unlikely event of accident or illness while volunteering for the Trust.

Name: Relationship to you:

Tel : Mobile:

Access requirements / health conditions If you have any particular access requirements or health conditions (eg medication or allergies etc) that we should be aware of, please state:

Signature: Date:

Data protection The National Trust collects and processes personal information for the purposes of customer analysis and direct marketing so that we can contact you about our conservation, membership, fundraising and other activities. Please tick this box if you would be happy to hear from the National Trust in this way.

I am happy to be contacted by the National Trust by email and email newsletters about conservation, membership, fundraising and other activities. My email address is (please print):

Thank you for your interest in volunteering with the National Trust. If you have any current convictions, we may ask you to declare them when you come in for a chat with us. If you’re interested in a role that involves volunteering with children and / or vulnerable adults, we will ask for information about current and spent criminal convictions. Having a criminal record will not necessarily exclude you from volunteering with us.

Please return this form to:

Email:

Staff use only Action taken / by / date © National Trust 2010 The National Trust is a registered charity no. 205846. Printed on 100% recycled paper.