Volunteer Additional Details

Name: Home Email address: Home Phone Mobile: Main Address: Postcode: United Kingdom Preferred Method(s) of contact Email phone Gender  Male Post  Female Date of Birth DD/MM/YYYY Volunteer Additional Details Biography (tell us a little about yourself) Geographical Area (where you want to volunteer)  St Albans City  Redbourn  London Colney  Wheathampstead  Harpenden  Other How did you hear about us? Internet Friend Voluntary Organisation Passing by Library Website Other Please specify Volunteer Form VBASE CLOUD 2015 School Social Media Job centre Skills Areas you are interested in: Design Craft Photography Creative Building work Carpentry Catering Cleaning & tidying Outdoor work Leadership Organising Stewarding Policing Gardening Construction Retail First Aid DIY/Odd Jobs Design Outdoors Driving Catering Counselling Web design Electronics IT Reading & Writing Reasoning Maths Talking to other Counselling Listening Negotiating Campaigning Social Media Administration Receptionist Research Mentoring Counselling Hostels Care work Befriending Support work Legal Work Accountancy Translation Business Development Trusteeship Lobbying Marketing Fundraising Escorting IT Technology Web Development Virtual Volunteering Training Youth Work Coaching Teaching Providing advice Food banks Financial Control Management Interpretation Activities you are interested in: Stewarding Policing Gardening Construction Retail First Aid DIY/Odd Jobs Design Outdoors Driving Catering Financial Control Management Interpretation Marketing Campaigning Social Media Administration Receptionist Research Mentoring Counselling Hostels Care work Befriending Support work Providing advice Food banks Escorting Fundraising IT Technology Web development Virtual volunteering Training Youth work Coaching Teaching Legal work Accountancy Translation Business Development Trusteeship Lobbying Area of volunteering you are interested in: Health & Safety Emergency Services Marketing Food Banks Media Refugees IT Crisis Support Legal Housing Retail Hunger Museums Women Volunteer Form VBASE CLOUD 2015 Prisoners Crime Veterans & Armed Forces Addiction Social care Hospice Medicine Heritage Literacy Libraries Environment Animals Wildlife Conservation Festivals Performance Drama Sport Craft Men LGBT Faith Race & Ethnicity Immigrants Justice Politics Civil rights Ex-offenders Victim Support Human Rights Domestic Violence Families Young people Children Recreation Poverty Disaster relief Unemployed International Aid Art Film Public events Music Previous work/Voluntary work details Availability Sat Sun Mon Tue Wed Thurs Fri AM PM EVE Age Range (please tick one) Age (if under 15) …………….. Age group 15-18 19-25 26-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+ Employment Status (please tick one Status: Employed full time Employed part time  Retired Self-Employed Self-Employed part time In education In training Unemployed  Looking after family/home Health  Other Non-Employed Ethnicity (Please tick one) British Irish Gypsy or Irish Traveller Other white background  White and Black African Other Mixed/Multiple ethnic background Pakistani Bangladeshi White and Asian Chinese  Other Black/African/Caribbean background Other Asian Background Arab White & Black Caribbean African Indian Caribbean Other ethnic group Please specify Nationality Religion: Christian Muslim Hinduism Buddhist Sikh Jewish No religion Prefer not to say Volunteer Form VBASE CLOUD 2015 Disability Status  Not Disabled Driver  Self Classifying (please tick one) Yes No Licence Yes  No Type of Driving Licence Car Automatic Car Full Motorcycle Car Provisional HGV - /class 1/2/3 PSV Coach Volunteering Commitment Type Full time Part time Short term Do you agree to be contacted by the Volunteer Centre, Centre for Voluntary Service St Albans District?  Yes  No Signed Date Data Protection We will hold your information confidentially and will not send your name and contact details on to another party, only use anonymous statistical data. 1. At no time will we provide any of your details to a third party without your permission. 2. You have the right to see any information about you that we hold in a retrieval system such as a computer database or paper index system. 3. You have the right to challenge us about any information relating to you we hold in a retrieval system and have this changed. 4. You have the right for your details to be removed from a retrieval system. 5. We may compile statistical data from time to time but this will never include references to a particular individual. 6. In order to keep you up to date with information and events we may include you in our mailing list or email list. 7. We will never sell or give our mailing lists to a third party. Carmen Dillon, Chief Executive Officer Address: Volunteer Centre, c/o WHCVS, Gracemead House, Woods Avenue, Hatfield, Hertfordshire, AL10 8HX Tel: 01707 274861 E-mail: volunteering@whcvs.org.uk Volunteer Form VBASE CLOUD 2015

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