Volunteer – Application Form

Area of interest

Location:

Personal Details

Title: MrMrsMsMissMxMaster

Family Name:

First Names:

Other Names you have been known as:

Address:

Post Code:

Email:

Home Telephone:

Mobile Telephone:

Work telephone:

May we contact you at work? NoYes

Date of Birth:

Do you have any disability, which may affect your application or employment? YesNo

If YES please give details.

We ask this question to enable us to consider any adjustments that we can make, either to the recruitment
process itself, or whilst you are volunteering, to assist you.

Do you hold a current UK driving licence? YesNo

Have you had any previous contact, or do you have any current contact, with the YMCA?

If YES please give details:

What made you wish to volunteer with Lincolnshire YMCA?

EDUCATION, TRAINING AND DEVELOPMENT

Please list your academic and other relevant qualifications, and dates passed, starting with the most recent.

Please describe other relevant learning opportunities e.g. training courses:

PREVIOUS EMPLOYMENT AND EXPERIENCE

Please give details of any relevant skills / experience gained outside employment (e.g. through voluntary
service).

REFERENCES

Please give the name and address of two referees who can comment on your suitability for this post. If you were known by a different name, please also state this. No reference will be sought without your consent.

Referee 1

Name:

Position:

Address:

Postcode:

Telephone:

Email:

In what capacity does this person know you?

Referee 2

Name:

Position:

Address:

Postcode:

Telephone:

Email:

In what capacity does this person know you?

SUPPORTING INFORMATION

Please detail how you meet the person specification for this post, illustrating with examples from work,
voluntary or life experiences, and stating why you are applying for the post.

DECLARATION

I declare that the information I have given on this form is correct and complete. I agree to the YMCA carrying out a Disclosure & Barring Service disclosure.

Signed:

Date: