Massy Properties Building, 61-63 Edward Street, Port of Spain

Tel: 1(868) 625-8286 Fax: 1(868) 625-9054

www.uwtt.com | unitedway@uwtt.com
Personal Information

Name: ______, _______________________________, _______________________________k

Address: j

Primary Phone #: Email: d

DOB (DD/MM/YY): Male ☐ Female ☐

Emergency Contact: d Primary Phone #: f

Level of Education: Primary ☐ Secondary ☐ Tertiary ☐

Employment: Currently Employed ☐ Not Employed ☐ Retired ☐

Name of Employer: c

Availability
When are you available to volunteer?

: to : Monday : to : Friday

: to : Tuesday : to : Saturday

: to : Wednesday : to : Sunday

: to : Thursday

How many times per month are you likely to commit to? d

Interests
In which areas are you best suited to volunteer?

  Accounting   Event Planning/Fundraising   Homework Supervision (ENGLISH)   Marketing & Public Relations

  Administrative/Clerical   Gardening   Homework Supervision (MATH)   Mentoring Youth

  Arts/Craft & Cooking   Grant Writing   Infrastructure Repair   Sports/Athletics

  Data Management   Graphic Design   IT Support/Website Design   Visiting Elderly

Special Skills or Qualifications

Skills can be acquired through employment, previous volunteer work, or other activities
such as hobbies or sports. What skills or qualifications do you have as a volunteer?

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

I have attached a copy of a certificate of character obtained by the Trinidad & Tobago Police Service
within the last 6 months. This is a requirement for all who volunteer through UWTT.

I have also attached a copy of my CV Curriculum Vitæ which would be disclosed to UWTT and our
network of assessed NGO who provide volunteer opportunities.
Signature: Date:_____________________