EmailMe Form - Volunteer Form

Name *

First Last

Home Phone *

Email *

Mobile Phone *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Please supply details of a friend or colleague who could supply a reference. Please include full address and contact details *

How would you like to volunteer? (Not all tasks my be regularly available) *

Which days can you volunteer? *

How often can you volunteer? *

If other, please outline

Do you have any health issues or special needs which you feel we would need to know about to ensure your safety as a BCTGB volunteer. This information will enable us to act swiftly in case of emergency and will not in any way preclude full consideration of your application. *

Please outline the health issues or special needs

Please give details of any relevant work history or skills that you have:

Rehabilitation of Offenders Act 1974. Do you have unspent criminal convictions registered against you? Please select YES or NO - If Yes, this may not prevent you volunteering, but please provide details of any conviction *

if YES - Please give details of convictions

As explained elsewhere, volunteers must be 18 years of age or over. Please confirm you are 18 years of age or over *

How did you find out about this volunteering opportunity? *