Volunteer Application Form s4

Volunteer Application Form

YOUR DETAILS

Address:

Postcode:

Tel: Mobile:

Email:

Please tick box if you wish to receive the weekly e-newsletter 

VOLUNTEER OPPORTUNITIES: (Please tick relevant box(es)

Event / Festival Steward  Administration  Marketing  Archive  Receptionist (Museum of Farnham)  Craft  Other (please specify) ______

AVAILABILITY FOR WORK morning afternoon evening Monday Tuesday Wednesday Thursday Friday Saturday Sunday

What level of commitment do you think you will be able to make on a regular basis? □ Weekly □ Fortnightly □ Monthly Other (please specify) ……………………………………………………………………... Can we call you if we need someone at short notice? Yes  No  Bridge Square Farnham Surrey GU9 7QR

t 01252 7454444 f 01252 718177 e [email protected] w www.farnhammaltings.com Charity No: 305034 Registered in England No: 954753 VAT Registration No: 293 6758 08

AREAS OF INTEREST/EXPERIENCE/SKILLS Please tell us why you are interested in volunteering at Farnham Maltings and give us a brief description of any relevant skills or experience. (e.g. British Sign Language, craft skills, computer programmes, languages, hobbies) which you would be willing to use as part of your voluntary work (however irrelevant they may seem). You never know when we may need them!

EMERGENCY CONTACT

Please give details of someone we can contact in an emergency.

Relationship to you:

Address:

Home Tel No: Mobile No:

Any relevant medical information (allergies etc):

How did you hear about Volunteering at Farnham Maltings:

REFERENCES

Please give the names and address of two people who would be willing to provide a reference for you (not family members).

Referee One Referee Two Name Name Position Position Address Address

Tel Tel Email Email

I confirm that all the information given above is correct. I understand that when volunteering I will be required to comply with Farnham Maltings Policies and Procedures which are available at all times.

Signed:______Date: ______

The information given on this form will be treated as confidential but may be stored on a computer database by Farnham Maltings. Under the 1998 Data Protection Act, you are entitled to request a copy of this information.

Equal opportunities monitoring form This information is required so that we can monitor the implementation of our equal opportunities policy. It will enable us to compile statistical information about applicants, in relation to sex, age, ethnic background and disability, for the purposes of comparison with similar statistical information on those actually recruited. It will not be used for any other purpose. We would encourage you to complete it so that we can have a full picture of our recruitment and selection patterns.

Date of birth:

Male/Female * (please delete as appropriate)

Position applied for:

Where did you see this job advertised?

Do you have any disabilities? Yes/No *(please delete as appropriate)

How would you describe your ethnic origin? Please indicate one of the following categories:

A White:

British

English

Scottish

Other white background, please specify:

B Mixed heritage:

White and Asian

White and Black African

White and Black Caribbean

Other mixed background, please specify:

C Asian or Asian British:

Bangladeshi

Indian

Pakistani

Other Asian background, please specify:

D Black or Black British:

African

Caribbean

Other Black British background, please specify:

E Chinese or other ethnic group:

Chinese

Other, please specify:

F Prefer not to say: These categories do not refer to the place of birth, citizenship or nationality, but to the ethnic group to which you belong. I hereby give my consent for the information contained in this form to be processed for monitoring purposes.

Signature: Date: