<p> PAVIORS RUGBY FOOTBALL CLUB FOUNDED 1922 Headquarters and Ground: The Ron Rossin Ground Burntstump Hill, Arnold, Nottingham, NG5 8PQ Tel: 0115 963 8527 www.paviorsrfc.co.uk</p><p>Paviors Recruitment Application for Volunteer Positions. </p><p>Full Name:______</p><p>Address:______</p><p>______</p><p>Post code:______</p><p>Home Phone:______</p><p>Mobile Phone:______</p><p>Date of Birth:______</p><p>Position applied for:______</p><p>Other volunteer roles that you are currently /have been involved in:</p><p>Previous experience regarding the role that you are applying for:</p><p>Profession: </p><p>Relevant qualifications (First Aid – coaching qualification etc). You will require a DBS in order to undertake a role where you will be carrying out regulated activity with children and vulnerable adults. Are you in agreement with making an application for a DBS check: please tick to indicate: YES NO</p><p>If no state your reasons why:</p><p>Would you be willing to undertake training to enable you to carry out your role? YES NO</p><p>Referee’s name, address and contact numbers:</p><p>Referee 1 Referee 2 Name Name </p><p>Address Address</p><p>Contact number Contact Number</p><p>In what capacity does the referee know In what capacity does the referee know you you: Circle applicable: Circle applicable: </p><p>Friend Employer Friend Employer </p><p>Family Volunteer role Family Volunteer role</p>