VOLUNTEER APPLICATION FORM Collection Box Area Coordinator Mr/Mrs/Miss/other …………………………………………….. (Delete as applicable) Forename(s)………………………………………………………………………....... Surname………………………………………………………………………………. Address……………………………………………………………………..... ………………………………………………………………………………………… ………………………………………………………..Post Code……………………. Telephone Number…………………………………………………………………… Mobile Number………………………………………………………………………. Do you have any previous experience of cash handling and customer service? Yes/No If Yes please give details………………………………….............................................. ………………………………………………………………………………………….. ………………………………………………………………………………………….. Do you have any other skills which may be relevant to this kind work? Yes/No If Yes please give details ……………………………………………………………… …………………………………………………………………………………………. …………………………………………………………………………………………. How often would you like to volunteer? (rough estimate of days/hours per week) …………………………………………………………………………………………. Please give contact details for two Personal/Business References. These must be people who have known you for at least a year and are not family members. Name …………………………………………………………………………………. Address…………………………………………………………………………….. Telephone Number ……………………………………………………………… Name ………………………………………………………………………………… Address ……………………………………………………………………………. Telephone Numbers …………………………………………………………… (For Mare and Foal Sanctuary staff use only) References checked by ………………………………………………. Date…………. REHABILITATION OF OFFENDERS ACT 1974 You are required to declare any criminal convictions (including bind over and cautions) which are not “spent” in accordance with the Rehabilitation of Offenders Act 1974. Yes, I have the following unspent conviction(s) ………………………………………………………………………………………...... ………………………………………………………………………………………….. No, this does not apply to me EMERGENCY CONTACT DETAILS (people to contact in case of emergency) 1st CONTACT Name ………………………………………………………………………………… Address …………………………………………………………………………… Home Telephone Number ……………………………………………………. Mobile Telephone Number …………………………………………………. 2nd CONTACT Name………………………………………………………………………………… Address……………………………………............................................................ Home Telephone Number ……………………………………………………. Mobile Telephone Number …………………………………………………. All information given on this form will be treated as confidential and is covered by the Data Protection Act. DISCLAIMER I confirm that all information given on this form is correct to the best of my knowledge. I hereby agree that while I am volunteering at The Mare & Foal Sanctuary, they will not be responsible for any damage to my property. SIGNED …………………………….……………………………………. PRINT NAME ……………………………………………………………. DATE………………………………………………………………………