ࡱ> ` vbjbjss 4' 7PPPd,D,D,D8dD4DdWFF"FFFHHHgWiWiWiWiWiWiW$Xh>[FWPIH"HIIWFFW{M{M{MI8FPFgW{MIgW{M{M8P{MF|F $;,DJ{MOdW0W{M[9K[{M[P{MH>H,{M(I$LIHHHWWMjHHHWIIIIddd((.ddd(.ddd PERSHORE VOLUNTEER CENTRE Charlotte Offices, New Road, Pershore, Worcestershire WR10 1BY Telephone: 01386 554299 E-mail: valj@pershorevolunteers.org VOLUNTEER REGISTRATION Private and Confidential Volunteers play an important role in our community, so we need some basic information about you. Some of these details will be passed on to your volunteer placement. This will be discussed with you beforehand otherwise all information will remain confidential.  Title (Mr/Mrs/Miss/Ms etc) First name (s) Surname Address + postcode  Telephone Mobile Email Date of birth Do you have any disability, or health or mobility problem?Do you have a criminal record? (Some placements may require a Criminal Records Bureau check)Nationality Employment status (Student, employed, retired unemployed, self-employed)Please give outline of previous volunteering experience, with dates, if applicable How did you hear about us? How many hours per week would you like to do voluntary work? What interests/skills do you have? Areas of InterestWhat activities would you like to do? Activity/SkillAnimalsAdministrationArt, CultureAdvice, Information and SupportChildrenArchitecture and Building WorkDisabilityArtDisaster ReliefBefriending and BuddyingDomestic ViolenceBusiness, Management and ResearchDrugs and AddictionsCampaigning and Lobbying Education, LiteracyCaringElderlyCateringEmergency ServicesCommunity WorkEmploymentComputers and Website designEnvironmentalCounsellingFamiliesDrivingGay, Lesbian, Bi and TranssexualEmployee and Group VolunteeringHealth and Hospital HospicesEntertainmentHeritageFinance WorkHomeless and HousingFirst AidHuman and Civil RightsFundraisingInternational AidGardeningLegal Aid and JusticeGeneral and HelpingMental HealthHostel WorkMuseumsLanguagesMusicLegal WorkPoliticsLocal EventsPrisoners and Ex-OffendersMarketing, PR and MediaRace and Ethnicity and RefugeesMentoringReligionMusicSports and Outdoor ActivitiesNational and International EventsWomens GroupsOfficialsYouthPractical Work and DIYRetail and Charity ShopsSports DevelopmentTeaching, Training and CoachingTrusteeship and Committee WorkUnder 16 VolunteeringYouth WorkPlease give the names and addresses of two people who know you well, and whom we may approach for a reference. They should not be related to you.Name NameAddress + postcode  Address + postcode TelephoneTelephoneEmailEmail CONFIDENTIALITY AND DECLARATION I am aware that the nature of voluntary work is highly confidential and I agree to respect the privacy of clients and not to divulge confidential information. 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