New Volunteer Registration Form

Aubergine Cafe

36-38 Cathays Terrace, Cardiff CF24 4HX

hello@aubergine.co.uk
New Volunteer Registration Form
Full Name*

First NameLast Name
Date of birth*

DayMonthYear
Date
Pronouns *
Please provide at least one of the following so that we can contact you:
Phone Number
Format: 00000000000.
E-mail
Instagram
We primarily use WhatsApp to discuss cafe matters. If you have provided a phone number, are you happy to be added to our WhatsApp group chat?

YesNo
The focus of Aubergine is to provide work experience for autistic folk, in addition to those with other neurodivergent conditions. We also champion providing opportunities for other marginalised groups, and thus would like to prioritise space for such people to work with us.
Do you consider yourself to be autistic, whether you self-diagnose or have an official diagnosis?*

YesNo
Do you consider yourself to be neurodivergent in a way other than being autistic? E.g. ADHD, Dyspraxia, Dyslexia
If yes, please state in the box provided.
Do you identify as part of the LGBTQ+ community?

YesNo
Do you identify with any ethnicity, culture or religion?
If yes, please state in the box provided.
Please indicate which roles you are able to undertake, find descriptions of the responsibilities and level of interaction by copy and pasting the following link into your browser: http://bit.ly/3ujl9Nm

OpeningClosingBusserHostKitchen assistant

Please indicate which times/days that you are available to volunteer:*

Please let us know of any details that you think may be useful to help us work together? i.e. What's your communication style? What can we do to help you feel best supported in the role?
Should be Empty: