Volunteer Application Form

Volunteer Application

Thanks so much for expressing interest in being a Space to Breathe Volunteer. Please complete this short application form.
First Name
Last Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityCounty

Postal Code
Email Address
Please tell us how you'd like to help or support our work (is there a specific group or activity you'd like to be involved in?)
Please tell us why you'd like to volunteer with Space to Breathe
Are there any specific days/times you're able to volunteer?
Please give us an overview of the experience or skills you might bring to volunteering
Please tell us anything that would make it easier for you to volunteer with e.g. access issues, any health challenges, help with travel, allergies or anything else we should be aware of
At Space to Breathe, we are committed to supporting equality and championing diversity. Please tell us about any anything we need to know to ensure you have equality of opportunity?
At Space to Breathe, we are committed to safeguarding of children, young people and vulnerable adults. Do you have any convictions, cautions, warnings, reprimands, binding over or other orders, pending prosecutions or criminal investigations that are not ‘protected’ as defined by the Rehabilitation of Offenders Act 1974 (exceptions) Order 1975 (as amended 2013)?
If yes please give details here
Please give us the name and contact details of two referees. (If you are being referred by a health agency (NHS) then just the name of your referrer is fine in that instance)
Signature
Thanks so much for completing our form. We'll be in touch shortly.

In the meantime we want you to know that we take caring for your data very seriously. Everything filled in here will be kept securely and inline with GDPR requirements. You can read our full data policy here.
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