Volunteer Application Form

References

Please supply the names and address of two referees (not relatives) who can supply a character reference. You are advised to seek permission from your referees prior to us contacting them.
Name*

First NameLast Name
Position/ How They Know You*
Email*
example@example.com
Phone Number*
Name*

First NameLast Name
Position/ How They Know You*
Email*
example@example.com
Phone Number*

Please provide your preferred next of kin details*

	Name	Relationship to you	Phone Number
Details

Disabled Applicants - We guarantee to interview disabled applicants who meet the essential requirements of the post.
Please confirm therefore whether you have a disability. Do you have any special requirements to enable you to attend for interview, or to assist you in the interview process? If this is not applicable to you please type N/A.*
Declaration
I declare that the details in this application form are to the best of my knowledge, true. *

Clear
Thank you for taking the time to complete our Volunteer Application form. If you have any questions regarding the information above, please get in touch. Our email is info@herefordshire-mind.org.uk or call us on 01432 271643. We are open Monday to Friday, 9:30am to 2:30pm.
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About You!