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Volunteer Application Form

Share Discovery Village, Smith’s Strand, Lisnaskea, Co. Fermanagh BT92 OEQ
Name: _____________________________________________________
Address: ______________________________________________________
_____________________________Postcode:________________________
Home Telephone: __________________ Mobile: ______________________
Email:___________________________________________
Date of Birth: _______________________ Age: _______________________
Present Occupation: ____________________________________________
Previous Relevant Experience: ___________________________________
______________________________________________________________
I would like to be a Share Volunteer because...
______________________________________________________________
Do you have any special requirements (food/medical)? ______________
Are you volunteering as part of your Duke of Edinburgh Award

Yes / No

Please tick which area of volunteering is of most interest to you.
Weekend Activities: - Helping staff deliver a programme of water and land
based activities, to groups of all ages and abilities.
Senior volunteer:- use your skills to assist with activities and/or maintenance
as well as pass on your knowledge to the next generation.
International volunteer:- asssist with all centre activities and duties.
Summer volunteering:- Helping staff deliver activity programmes and carry
out other centre duties.
Other Site duties - maintenance, repairing, kitchen or house-keeping.:- use
your skills for indoor and/or outdoor projects.
Other: Please specify any other area of volunteering that interests you.
______________________________________________________________
______________________________________________________________
When are you available to volunteer? (E.g. weekends, summer, specific dates etc.)
___________________________________________________________________

........ ______________________________________________________________ Is there any reason why you cannot work in regulated activity with children? YES / NO If yes please state why.............. A criminal record will not necessarily be a bar to you obtaining this voluntary position... Please supply the following information... Please contact jacqui@sharevillage...... ______________________________________________________________ If offered a position.... ..) YES / NO If yes.................... please state the nature and date of the offence..... ....... do you object to your name being submitted for an AccessNI disclosure check? YES / NO If you are subject to an AccessNI disclosure there is a Code of Practice and explanatory guide for the process..............org if you would like a copy of this......... must be declared......... Payment Rec.......Have you ever been convicted of a criminal offence...………………....) Name: ______________________ Name: __________________________ Email Address: _______________ Email Address: ___________________ Phone No: __________________ Phone No: _______________________ Relationship:_________________ Relationship:______________________ Signature of applicant: __________________________ Date: ________________ Please attach a recent passport size photograph to application.........…........ or been the subject of a Caution or Bound-Over Order? (All convictions....... For Office Use Only Date App Rec……………................ (These should not be family members........................ ALL OTHER INFORMATION CONTAINED IN THIS APPLICATION WILL BE TREATED IN STRICT CONFIDENCE...... 1st Refs Rec...................... 2 referees who can comment on your suitability as a volunteer... this is available to you on demand....... 2nd Ref Rec......................... BY SIGNING THIS FORM YOU AGREE TO YOUR NAME AND CONTACT DETAILS BEING PLACED ON OUR INTRANET FOR CO-ORDINATORS TO VIEW.... Confirmation Emailed..................... including spent convictions & cases pending.. Parent PF Rec............................ App rec Email ... Refs Emailed. Access NI Posted…………..