VOLUNTEER APPLICATION FORM
Please complete all sections of this form to help us with your application to become a volunteer at The Ironbridge Gorge Museum Trust.
All information will be held by the Trust and will remain confidential.
Please return to:
Volunteer Coordinator, Ironbridge Gorge Museum Trust, Coalbrookdale, Telford,
Shropshire. TF8 7DQ
YOUR DETAILS:
Mr Mrs Miss Other Title
Surname
First name/names
Preferred name
(the name by which you like to be known)
Home Address
Home telephone number
Mobile telephone number
Email Address
Date of Birth
Postcode:
Please note: We will use this to contact you, send you volunteer newsletters and information about volunteer opportunities or projects we need help with. We won’t pass it on to anyone.
Do you have any medical conditions or disabilities that we should know about? This will be used to prioritise your welfare whilst Volunteering with us.
Yes
Please could you give us some details?
Do you consent to this sensitive information being kept on our system?
Yes, that’s fine No thank you
SIGNATURE: Date:
EMERGENCY CONTACT DETAILS – YOU MUST INCLUDE A TELEPHONE NUMBER:
Name
Relationship to You
Home Address As above?
Home telephone number
Postcode:
Mobile telephone number

MORE ABOUT YOU:
What interests you about The Ironbridge Gorge Museum Trust?
What experience or interests would you bring to a role at the Museum, or what would you like to gain?
Do you have any specific skills or trades the Museum could make use of?
(For example, Electrician, Carpenter, IT Technician)
VOLUNTEERING OPPORTUNITIES:
What type of role appeals to you?
(please tick as many as you like. If you’re not sure, don’t worry as we’ll go through them all with you when we meet)
Guided Tours Curatorial
Costumed Demonstrator Gardening
Events/stewarding
Fundraising
Conservation
FabLab Demonstrator
Educational
Administration
Maintenance
Research
Or if you prefer, give details of what you’d like to do:
Which sites interest you most?
( please see our Volunteer Leaflet or our website,
www.ironbridge.org.uk for details of each Museum; tick as many as you like)
Museum of the Gorge
Darby Houses
Coalbrookdale Museum of Iron
Enginuity
Coalport China Museum
Behind the scenes
Iron Bridge and Toll House
Broseley Pipeworks
Jackfield Tile Museum
Blists Hill Victorian Town
Tar Tunnel
Offsite
WHEN WOULD YOU LIKE TO VOLUNTEER?
When are you available?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
AM PM
All year round
Just in term time
Just in the holidays
As and when
Project volunteering

Are you currently?
Employed – Full Time
Employed – Part Time
Full time student
Part time student
Retired
Unemployed
Not Working
If you become a volunteer, do you mind if we use photographs of you in promotional material such as leaflets or on our website?
(Don’t worry, we’ll ask you first!)
Yes, that’s fine No thankyou

SIGNATURE: Date:

The information collected here helps us assess the effectiveness of our equality policy and monitor our Volunteer recruitment and application processes. We aim to be representative of the community from which we draw our Volunteers and by monitoring the diversity of our applicants, we can measure our effectiveness in achieving this goal.
The information you give will only be used for this purpose and no other. Please read through each section with care before completing it and complete all sections, circling or underlining your answers clearly.
1.
Age:
16 – 24 25 – 34 35 – 44 45 - 54 55 - 64 65 – 75 75 +
2. Gender: Male Female
3. Disability:
Do you consider yourself to have a disability under the Equality Act 2010 Definition?
Yes No
4. Ethnic Origin:
What do you feel is your ethnic origin?
Choose one category from A-L
(This is not a question about nationality or citizenship, and you should indicate whichever you believe to be your ethnicity.)
A.
White British
B.
White Other
C.
Black – Caribbean
D.
Black – African
E.
Black – Other
F.
Indian
G.
Pakistani
H.
Bangladeshi
I.
Asian
J.
Mixed
K.
Any other Group (please specify)__________________________________________________
L.
Do not wish to say
5. Advertising:
How did you find out about Volunteering opportunities at Ironbridge Gorge Museum Trust?
From the Museum Website – Museum Website - Other Word of Mouth Other
Thank you for taking the time to complete this information. This will be of great value to us as we monitor our progress as an equal opportunities Museum.

REFEREES
At the Ironbridge Gorge Museum Trust Limited we want to provide volunteers, staff and the public with a safe, reliable and fun experience. The purpose of asking volunteers for a reference is just to make sure we know what to expect, and in the same way as references are asked for with staff, that people are genuine in their search for a role. Please provide details of two referees to support your application, bearing in mind that we will contact them soon after your application is received.
Please don’t put relatives as your referees, as we cannot accept them, however, people such as ex-employers, people you may have volunteered for in the past, a social worker or anyone you have a professional relationship with are fine.
One of your referees can be a friend, someone you have worked with, or a fellow volunteer.
If you have any reservations about giving referees, please get in touch with the Volunteer
Coordinator, we are here to help, and will do in any way we can.
REFEREE 1
Name
Relationship to you
Address
Telephone
Email address
Postcode:
REFEREE 2
Name
Relationship to you
Address
Postcode:
Telephone
Email address
THANK YOU FOR YOUR TIME
If you have any questions regarding this form, or would like help filling it in, please contact The Volunteer Centre on 01952 601044
If you would prefer to e-mail this form back to us, you can address it to the
Volunteer team: volunteering@ironbridge.org.uk
All information held and used by us conforms to the Data Protection Act 1998. Data used from this form to complete statistical records is done so in accordance with our Data Protection Policy