New Volunteer Application Form

New Volunteer Application Form

CHAMBER OPERATOR
Our volunteers are the lifeblood of our Centre. Without them we simply would not be able to function. We are always looking for dedicated volunteers who are able to offer their time on an ongoing, regular basis.

CHAMBER OPERATOR
Our most urgent need at the Centre is for people who can help to run the oxygen therapy sessions. You will be trained at your own pace and operating the chamber is relatively easy and doesn’t require a lot of physical strength. You will be shown how to help members into the chamber and to adjust their oxygen masks, how to pressurise the chamber at a safe rate, how to observe that everything is running smoothly during the session and then how to depressurise the chamber afterwards.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

TownCounty

Post Code
Date of Birth

DayMonthYear
Date
Phone Number*
Format: 00000 000000.
E-mail
example@example.com
Emergency Contact

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How long do you anticipate volunteering with us?

Occasional1-2 months1 YearOngoing
What shift(s) are you available to cover?

Tuesdays - 9:00-11:00Tuesdays - 10:45-12:45Tuesdays - 12:30-14:30Wednesdays - 9:00-11:00Wednesdays - 10:45-12:45Wednesdays - 12:30-14:30Wednesdays - 18:45-20:45Thursdays - 9:00-11:00Thursdays - 10:45-12:45Thursdays - 12:30-14:30Saturdays - 9:00-11:00Saturdays - 10:45-12:45Saturdays - 12:30-14:30Other
Do you have any previous volunteering experience? If yes, please describe.
Are there any skills or qualifications you have that could support your volunteering role?
Why would you like to volunteer with us?
Please provide two references:
Name

First NameLast Name
Phone Number*
Format: 00000 000000.
E-mail
example@example.com
Name

First NameLast Name
Phone Number*
Format: 00000 000000.
E-mail
example@example.com
Should be Empty:

New Volunteer Application Form

Please provide two references: