Volunteer Registration Form
Register with CARE in Egham and District as a volunteer driver or duty officer.
Your Name
*
What type of volunteer would you like to be (select all that apply)?
*
Driver
Duty Officer
Date of Birth?
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Address
*
Preferred Contact Phone Number
*
Format: 00000 000 000.
Your email address
*
Do you have current DBS clearance?
*
Yes, it is current and I consent to Care in Egham and District using it
I consent to Care in Egham and District obtaining one
Vehicle Make?
*
Vehicle Model?
*
Vehicle Colour?
*
Vehicle Registration Number?
*
Number of doors
*
Can you carry a folding wheelchair?
*
Yes
No
Please indicate all that apply?
*
It has a current MOT (or does not require one)
It has comprehensive insurance. Please confirm with your insurers that your policy will cover you to carry passengers on a voluntary basis. Most Insurers provide such cover with no extra charge.
You hold a valid Full Driving Licence. Note that you must inform the Chairperson of CARE of any penalty points that you incur so that your suitability to drive for CARE can be reviewed
You agree to a driving licence check
Please provide any other details that you feel are relevant
Name of First Referee
*
Phone Number of First Referee
*
Format: 00000 000 000.
Email address of First Referee
Capacity known
*
Name of Second Referee
*
Phone Number of Second Referee
*
Format: 00000 000 000.
Email address of Second Referee
Capacity Known
*
What happens next?
All the above details will be verified and your referees will be contacted. After this, you will be contacted by phone or email and invited for an interview. You will be asked to bring proof of your address. Volunteer drivers will also have to bring their driving license, vehicle insurance certificate and MOT Test certificate.
Date Applied to volunteer
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Submit
Should be Empty: