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 *

Post Code *

Contact Number *

Email *

Volunteer role you're applying for *

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

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Bath Mind
Volunteer Registration Form