Volunteer Application Form
Name:
*
First Name
Last Name
Date of Birth:
*
/
Day
/
Month
Year
Date
Gender
*
Male
Female
Phone Number:
*
-
Area Code
Phone Number
Email:
*
example@example.com
Home Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If you have a relationship to a current pupil please state their name, year group, and relationship to them:
Emergency Contact:
*
First Name
Last Name
Emergency Phone Number:
*
Please enter a valid phone number.
Format: (+44) 0000-000000.
Have you any experience of working as a volunteer and / or with children
*
Yes
No
If Yes, Where and when did you gain this experience?
Are you available to commit yourself to this voluntary work for at least one term (Average, 13 weeks)?
*
Yes
No
Why would you like to be a volunteer at Aldersbrook Primary School?
*
When can you volunteer?
*
Rows
Monday
Tuesday
Wednesday
Thursday
Friday
AM
PM
Lunchtime
What age-group would you prefer to work with? Please tick your preference/s:
*
3-4 Years
5-7 Years
7-11 Years
No Preference
Would you feel able to help with any of the following in a classroom setting? Please tick your preference/s
*
Would you prefer to work with one child or a small group? Please tick your preference:
*
One Child
Small Group
No Preference
Are there any particular activities you enjoy and would you like to share with the children? (for example: Sports, Arts and Crafts, Languages Spoken)
Equal Opportunities
Aldersbrook Primary School is committed to Equal Opportunities. To help us, please describe your ethnic origin by circling the appropriate code below. This information is optional, confidential and will only be used for monitoring purposes.
I would describe my ethnic origin as:
*
WB - British
WI - Irish
MB - White & Black African
MC - White & Black Caribbean
MA - White & Asian
BA - African
BC - Caribbean
OW - Other White Background
OB - Other Black Background
OA - Other Asian Background
MO - Other Mixed Background
IN - Indian
PK - Pakistani
BN - Bangladeshi
CN - Chinese
GK - Greek / Greek Cypriot
TK - Turkish / Turkish Cypriot
GO - Other Background
Consent
Please note that your consent will be required for a DBS check (your signature below confirms this consent). I confirm that the information I have given above is correct. I understand that Aldersbrook Primary School reserves the right to reject a volunteer’s application at any stage of the recruitment process and remove a volunteer from the programme without providing a reason of necessary.
Signed:
Date:
-
Day
-
Month
Year
Date
Submit
Should be Empty: