Volunteering Questionnaire

The aim of this form is to find out more about your skills and interests so that
we can then find the right volunteer role for you.

Name:

Contact Details:

Are you interested in any particular area of CIC’s services?

Senior Care * Vocational Support *

Independent Living * Homelessness *

Would you like to volunteer with any of the following service user groups?

* Elderly
* People with learning difficulties
* People with mental health issues
* Homeless people
Do you have any particular interest or skills in any of the following
areas/activities?

* Admin
* Research
* Counselling
* I.T
* Gardening
* Sports
* Pets/Animals
* Books/Reading/ Literature
* Complimentary therapies
* Mentoring/Befriending
* Art and crafts
* Painting/decorating
Do you support any local sports teams? Or are you interested in any team sports
that you could help are service users with?

Have you volunteered with any other organisations, if so please state what
volunteer role you carried out?

Are there any areas in which you would like to gain more experience in?

What would you like to gain from volunteering with CIC?

What time of day, day of the week and for how long would you lo volunteer for?
(Please circle)

Monday – morning/afternoon/evening
Tuesday – morning/afternoon/evening
Wednesday – morning/afternoon/evening
Thursday – morning/afternoon/evening
Friday – morning/afternoon/evening
Saturday – morning/afternoon/evening
Sunday – morning/afternoon/evening

How many hours can you commit to each week?

Please list any of your hobbies –

Please list any previous employment or work experience which may help us in
finding the right volunteer opportunity for you –

Please list any qualifications –

Thank you for completing your Volunteering Questionnaire the Volunteer Co-
ordinator will contact you with details of appropriate volunteer vacancies.