DofE Registration of Interest Application Form

You must complete all of the sections to be considered.

Personal details:
First name:       Last name:      

Gender: Male Female Date of Birth:       /      /     

Form Group:

Skill and physical section: Do you currently take part in any extracurricular physical activity or after school
clubs? (e.g. playing for a football team outside of school or attend regular clubs in school, debating, chess,
football, netball, performing arts club) If not, are you willing to join new clubs and stay committed for 3/6/12
months?

Service/volunteering: Do you currently do any volunteering? If not, what areas of volunteering are you
interested in? (e.g. are you part of school council or help at your local care home or interested in helping or
raising awareness in issues surrounding a certain disease, LGBTQ+, animal rights or the environment?)

State why you would be interested in participating in the DofE Gold Award and what makes you a good
candidate:

Signed:………….…………………………………. Date:………………………………