Volunteer Application Form

Thank you for your interest in volunteering at Acton Scott Heritage Farm.

Please complete all sections of this form to help us with your application to become a volunteer at Acton Scott Heritage Farm. The information provided on this form will be held by Acton Scott Heritage Farm and will only be used for the purposes stated below in relation to volunteering activities.

PART 1 - YOUR DETAILS (details of the volunteer)

Name*

First Name/sLast Name

Date of Birth*

We can only accept volunteers over 16 years old in this interim period before the Heritage Farm reopens.

Gender*

MaleFemaleI identify in another wayPrefer not to say

Address*

Postcode*

Telephone*

Mobile

Email*

example@example.com

PART 2 - SPECIFIC INFORMATION ABOUT YOU

The information in this section will be used to help us learn a little more about you, understand your needs, and ensure we are able to place you in a suitable volunteering role.

We currently have six areas of volunteer opportunities available. Please tick any that appeal to you*

GardeningGeneral maintenanceLighter maintenance (cleaning and preparing indoor areas)Agricultural machinery and implement repair and maintenanceAdministrative duties/IT support/social mediaTea & coffee makers/volunteer support

Please tell us which area/s of volunteering you are interested in and if you have any previous relevant experience in these areas

Please tell us about any other skills and professional qualifications you have which may help us in our work to reopen the farm.

Is there any information that we may need to consider when placing you as a volunteer to ensure you have a positive experience? (Medical conditions, impairments, specific needs, accessibility requirements, allergies etc.)

Would you be happy training other volunteers?*

YesNo

When would you like to volunteer?

	AM	PM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

If you aren't sure, please leave this section blank or tell us of your alternative availability. You may prefer a block of time during the holiday season.

PART 3 - EMERGENCY CONTACT DETAILS

If you become a volunteer with us it's important we know who to contact in case you are injured or become il while volunteering.

Full Name*

Relationship to you*

Telephone Number*

By ticking this box I confirm I have consent of the individual listed above to be contacted in the case of an emergency during the course of activities.

PART 4 - DECLARATION

I wish to apply to join Acton Scott Heritage Farm as a volunteer, and confirm that all details given on this form are true and accurate, to the best of my knowledge.
I confirm that I will notify ASHF immediately if any of the details or information provided on this form should change in any way.
I recognise that these activities involve risk, and that I, the volunteer, must take all reasonable precautions and follow all advice properly given, at all times

I confirm I have read and accepted the declaration.

I give my consent to photographs or videos of me being taken during volunteer activities for training and/or publicity (including, but not limited to, websites, social media, newsletters and marketing materials). I give this consent understanding that these images will not be given to a third party without my explicit consent*

YesNo

VOLUNTEER SIGNATURE*

DATE*

Date

If you require a paper copy of this form, please email farm@actonscott.com and post your completed form to Acton Scott Heritage Farm, Acton Scott, Church Stretton, Shropshire, SY6 6QN.

Thank you.