Talking Together Application Form
This simple application form is designed to support automatically importing into our volunteer database. This saves us
a lot of time and is speedier for you to complete. DO NOT save in a different format. Complete all sections.
Important instructions:
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Use shaded drop down menu fields by clicking on them and then selecting your correct answer.
Complete text boxes by simply typing into them. NOTE: boxes hold only so many characters so kindly keep
your responses brief.
To move to a new line within a text box press Ctrl Rtn at the same time.
Contact details
Gender:
Given Name:
Address:
Town/City:
Work Tel no:
Mobile:
Select
Title:
Family name:
Select
Postcode:
Home Tel No:
Email:
About you
Date of birth
(dd.MM.yyyy.):
Ethnicity:
Select
Empl. status:
Do you consider yourself to have disability?
Select
If you do, please describe in the box below (150 characters limit):
Select
Is there anything else we need to know that might help us to better support you in your volunteering?
Please describe in the box below (500 characters limit):
Your Volunteering
The main reason you would like to volunteer?
Select
Please select the best days/times for you to volunteer (click to select):
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Where did you first find about us?
Select
Where would you like to voluteer?
Select
Note that at the moment we
have very few opportunities for
evening volunteering, but feel
free to complete if evenings
apply to you - we can contact
you if things change.
What kind of voluneering would you
like to do?*
Select
Please tell us briefly about any allergies you have
or food group/s you avoid, due to medical or other
reasons (e.g red meat, shellfish, gluten)
Please tell us a little about yourself: e.g. strengths, personality, character, interests, aspirations, how
you might benefit from volunteering with us and how you could contribute best (500 characters limit):
Your references
Please let us have two references. At least one should be a current or previous employer or a
‘professional person’ i.e. not a friend or family member. The other can be a friend or family member.
Both referees must have an email address – please ensure that the email box is completed correctly.
First Referee
Gender:
Given Name:
Address:
Select
Town/City:
Work Tel No:
Mobile:
Gender:
Given Name:
Address:
Town/City:
Work Tel No:
Mobile:
Title:
Family Name:
Select
Postcode:
Home Tel No:
Email:
Select
Second Referee
Title:
Family Name:
Select
Postcode:
Home Tel No:
Email:
Emergency contact (optional)
If you wish, you can provide contact name in case of emergency (accident, sudden illnes...)
Contact name:
Telephone:
Relationship:
Please if possible email your completed form to: tt@timebank.org.uk
You can also print it off and send by post to:
TimeBank, 201B The Big Peg, 120 Vyse Street, Birmingham, B18 6NF
If you have any queries before sending your application call us on 0121 236 2531
TimeBank is a ONE20 initiative. ONE20 is a company limited by guarantee registered in England and Wales no. 3695114.
Registered charity no. 1073831; Scotland SC042413.