Volunteer Registration Form

Bath Mind
Volunteer Registration Form

PRIVATE AND CONFIDENTIAL

The personal information provided on this application form will be used for employment purposes and processes. It will be held and accessed under the terms of the Data Protection Act 1998. No personal information will be passed to a third party without your permission.

Name

Address

Postcode

Contact Number

Email

Volunteer role you're applying for

Please select the days you are available to volunteer

Please state your availability on your chosen days (morning, afternoon, evening or flexible)

How did you hear about Bath Mind volunteering opportunities?

Please state where you heard e.g. 'Bath Spa Uni website'

Please provide brief details of any skills, experience, and/or training that you feel might be relevant

If applicable, please provide details of any support that you feel you may need to act as a Bath Mind volunteer

Please add any additional information that you would like to include in your application

Please provide details of any criminal convictions, including date and offence. (A conviction will not automatically exclude you from working as a volunteer for Bath Mind.) All volunteer are required to complete a DBS (CRB) check

Reference 1 (Name, Email, Relationship to you)

Reference 2 (Name, Email, Relationship to you)

Emergency contact: Name

Emergency contact: Relation to you

Emergency contact: Telephone number

Date Completed

Sign up to Bath Mind's mailing list?

Yes
No

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Bath Mind Volunteer Registration Form

PRIVATE AND CONFIDENTIAL

Bath Mind
Volunteer Registration Form