Volunteer application form
Hillingdon, Slough, Windsor, Kingston & District Branch
Personal details
Name
Address
Postcode
Tel no (day)
Tel no (evening)
Mobile no
Email
Any restrictions on daytime or e-mail contact?
Age Group 16-17 O 18-24 O 25-34 O 35-44 O 45-54 O 55-64 O 65+ O
(16 years minimum age due to insurance restrictions –
those aged 16 to 18 will be required to arrange for a work experience placement, such as through school/college or a scheme like Duke of Edinburgh or Princes Trust)
If applying for a specific volunteering vacancy, please state which role and location
Where did you hear about this volunteering vacancy or receive this form from?
Volunteer interest – please tick those areas of volunteering you are interested in
Charity shop*
O
May require other work first:
Fundraising
O
Dog Walking
O
Animal Transport
O
Practical animal care*
O
Clinic Reception
O
Home visiting
O
Administration support O
Other (please specify)
O
* These opportunities may require an amount of heavy lifting (Charity shops - Furniture Shop only)
Availability – at what times are you usually available for volunteering?
Flexible
O
Weekday Days
O
Weekend Days
O
Weekday Evenings
O
Weekend Evenings
O
How often would you be able to offer the above availability?
Present employment/volunteering
Previous employment/volunteering experience
Details of other skills or interests
Referees
(please provide details of two people, not related to you, who we may ask for a reference)
Name
Name
Address
Address
Postcode
Postcode
Email Address
Email Address
Telephone no
Telephone no
Relationship of referee to you
Relationship of referee to you
We look forward to receiving your application and will ensure that any information you have provided about yourself will
be treated as confidential. Your details will be kept on a volunteer database and we may use the data to keep you up
to date with other volunteer opportunities and RSPCA news. The RSPCA may also use your name in future to advise
you of other interests which could be of benefit to animal welfare. Your details will NOT be passed on to third parties.
You can remove yourself from this database at any time by phone, postal, or email request.
Please tick this box to give your consent for us to hold your details according to the above statement. ○
Signature
Date
When completed, please return this form to
FOR RSPCA USE ONLY
RSPCA HSWK Branch Office
16 Crescent Parade,
Uxbridge Road,
Hillingdon,
Middlesex
UB10 0LG
Date form received in office
For more information, please call
01895 833 417
Or visit
www.rspcahillingdonclinic.org.uk
Entered onto database
Forms sent to referees
References received back
Invited to Meet & Greet
Attended Meet & Greet
Assigned to
Form passed to Manager