Name of Organisation

Address

Tel

Fax

E-mail (*Required)

WWW Homepage

Company Reg no. (If applicable)

Charity No. (If applicable)

Position in organisation/Job Title

Give a brief description of the aims and work of your organisation

Is it a non-profit making organisation?

How is the organisation funded?

No. of Volunteers required

(Please note - if you require volunteers for different roles please submit separate applications)

What will the role/title of the volunteer be?

Is this work currently being undertaken in your organisation?

If yes, by whom?

What specific tasks will the volunteer be expected to undertake?

Are there any particular sklls and personal qualities necessary for this position?

Is there a minimum length of committment required?

Hours Days Weeks Months Years

Which days and at what times per week/month do you require voluntary assistance?

Other times/further details

At what address will the volunteer be working?

Does your organisation have a volunteer policy?

Does your organisation have a childcare policy?

Do you require references for volunteers?

Do you undertake any other screening procedures?

Yes No

If yes, please give details

Details

Do you wish to have some details of your organisation published on our web page?