Volunteer Services Behind The Scenes Children & Youth Heritage Serving Our Community Application Form Name * First Name Last Name Address * Phone (###) ### #### Email * Date of Birth MM DD YYYY Emergency Contact (name & number) * Do you have any medical conditions or disabilities that we should know about? Please give details. Under the Rehabilitation of Offenders Act 1974, do you have any unspent criminal convictions? * Yes No Why would you like to volunteer? What experiences and interests do you bring? (If you are applying for a specific Volunteer Role, let us know which one.) * Please provide details of two individuals who can support your volunteer application. People such as ex-employers, educators, religious leaders, social workers or someone you have previously volunteered for are fine, but we cannot accept relatives. * I declare that the information I have provided is true and accurate. * Yes No Thank you for submitting your application to become a volunteer. Someone will be in touch shortly to arrange a face-to-face meeting.
