<p> VISION BEYOND BORDERS</p><p>Please email your completed form or queries regarding this form to [email protected]</p><p>Registration of Interest for Clients/Volunteers</p><p>First Name: </p><p>Last Name: </p><p>Address: </p><p>Postcode: </p><p>Phone Number 1: </p><p>Phone Number 2: </p><p>Email Address: </p><p>Please indicate your preferred method of contact: Email Phone </p><p>Please indicate your preferred time of contact: Morning Afternoon Evening Weekend </p><p>Please indicate non-professional Interests & Talents that you would like to develop whilst on sabbatical. </p><p>Photography Languages Sports Music </p><p>Other (please specify): </p><p>What is your highest level of education? GCSE/Equivalent A’Level/Equivalent Diploma Undergrad Degree </p><p>Postgrad Degree PHD </p><p>Other (please specify): </p><p>Are you currently? Employed Self-Employed On Sabbatical Contractor Unemployed </p><p>Are you able to provide two positive references? One must be from a former line- manager. Yes No </p><p>Are you happy to undergo a criminal records bureau (CRB) check? Yes No </p><p>Vision Beyond Borders Ltd is incorporated in England and Wales as company number 6712554 www.visionbeyondborders.com | +447875276696 | London N1 [email protected] Please us this space to tell us whatever you want to tell us about you! Or just leave it blank and we will give you a call. </p><p>How did you hear about Vision Beyond Borders? Google Search Yahoo Search Facebook Twitter Linkedin Do- it.org CharityJob Word of Mouth Other (please give details) Other: </p><p>Please confirm: - I am currently in the UK or willing to travel to the UK at my expense for an introduction - I understand that there are fee’s associated to this service </p><p>OUR PRACTICES ARE FULLY COMPLIANT WITH THE DATA PROTECTION ACT WHICH CONTROLS HOW YOUR PERSONAL INFORMATION IS USED BY VISION BEYOND BORDERS LTD</p><p>Vision Beyond Borders Ltd is incorporated in England and Wales as company number 6712554 www.visionbeyondborders.com | +447875276696 | London N1 [email protected]</p>