<p> 1 Volunteer Application Form</p><p>Please write in block capitals and complete in full. It is recommended that you also attach a copy of your CV. All forms are treated with the strictest confidence.</p><p>1. Personal Information</p><p>Name </p><p>Address </p><p>Contact Number </p><p>Email </p><p>Date of Birth </p><p>Emergency Contact Name</p><p>Emergency Contact Number</p><p>Do you have any medical conditions you feel we should know about?</p><p>Do you have a criminal record? If ‘yes’, please give details1: </p><p>1 The Rehabilitation of Offenders Act 1974 provides that ex-offenders are not required to disclose to prospective employers, convictions defined as ‘spent’ under the Act. It is EIA policy to require applicants to disclose any ‘unspent’ criminal convictions as part of their application 2</p><p>2. Availability Please tick</p><p>Regular Occasional Until I get a job</p><p>Office Hours Evenings and Events</p><p>Possible start date: </p><p>Length of period available:</p><p>If available on a regular basis, how many days / hours a week could you commit?</p><p>3. Skills and Experience Please tick</p><p>Research / Academia Administration</p><p>Media / Press Film & Photo Library</p><p>Languages Level of fluency</p><p>IT Details of software packages and any specialist training</p><p>4. Areas of Interest Please tick 3 Campaigns Media / Press Administration Accounts</p><p>Fundraising Film & Photo Library Research / Campaigns Supporter Services</p><p>5. Supplementary Information For example, additional skills and experience; why you want to volunteer for EIA etc. Please continue on a separate sheet if necessary </p><p>6. References Please supply the names and addresses of two referees, stating the nature of your relationship with them</p><p>Name Address & Contact Number Nature of May we Relationship contact him/her?</p><p>Name Address & Contact Number Nature of May we 4 Relationship contact him/her?</p><p>I hereby certify that the information I have supplied on this form is correct at the time of writing:</p><p>Signed ...... Date ...... </p><p>Equal Opportunities Monitoring Form</p><p>The Environmental Investigation Agency is committed to ensuring that no applicant receives less favourable treatment on any grounds not relevant to good recruitment practice, i.e. on the grounds of gender, race, age, ethnic origin, disability, class, sexual orientation or martial status.</p><p>In order to assist us in monitoring the effectiveness of our Equal Opportunities Policy, we would appreciate it if you answered the questions below. The information provided will be treated in the strictest confidence. It will be used for monitoring purposes only and will not affect decisions on recruitment.</p><p>Gender</p><p>Male Female</p><p>Ethnic Origin - Do you consider yourself to be:</p><p>Black Afro-Caribbean Black African </p><p>Asian White European</p><p>Other Please specify: </p><p>Disability - Do you consider yourself to have a disability? </p><p>Yes No</p><p>Sexual Orientation – Do you consider yourself to be: 5</p><p>Heterosexual Homosexual </p><p>Bisexual Other</p><p>Marital Status - Are you married? </p><p>Yes No</p><p>Age</p><p>Under 25 25 – 34 35 – 44 </p><p>45 – 54 55 – 65 Over 65</p><p>Thank you!</p>