Volunteer Application Form

Volunteer Application Form

Compass Therapy Centre, 40c Swanfield, Bonnington Road, Edinburgh EH6 5RX
Volunteer Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Mobile Number*
E-mail
example@example.com
Which Volunteer role are you interested in?

Oxygen DeliveryPhysiotherapy AssistanceAdministration
Do you have a long term health condition?*

YesNo
Where did you hear about this opportunity?*

Word of MouthVolunteer ScotlandThe Volunteer CentreSaw a PosterOther
Please can you let us know why you are interested in volunteering with Compass?*

Personal Interest in Neurological ConditionsTo meet new peopleSomeone I know uses the centreTo learn new skillsTo support the communityI want to help othersVolunteering helps towards my studiesOther
To help us maximise your volunteering experience can you please tell us about any skills you want to use and/or develop?
Could you please let us know which day/s and time would suit you best? (We wouldn't expect you for the whole period, just to get an idea!)

Monday AMMonday PMTuesday AMTuesday PMWednesday AMWednesday PMThursday AMThursday PMFriday AMFriday PMSaturday AM
Where did you hear about the volunteering opportunity at Compass?

A family member/friendSomeone that uses the centreA current volunteerInternet/WebsiteUniversity/CollegeVolunteer Centre EdinburghFlyers/PostersOther
Please provide us with the contact details of two people who have agreed to provide a reference for you:
Referee 1 Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Email
example@example.com
Referee 2 Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Email
example@example.com
Emergency Contact

First NameLast Name
Relationship
Phone Number
Confirmation

I confirm that the above information is complete and correct and that any untrue or misleading information will give Compass the right to terminate my voluntary position.

I confirm that I agree to abide by Compass policies (copies will be provided). I also understand that if part of my duties involves the handling of personal information, I agree to abide by the centre's Confidentiality and Data Protection policies.

I also agree that should I be successful in this application, I may be required to join the PVG scheme (no fee) and that should the disclosure and/or reference not be satisfactory any offer of voluntary work may be withdrawn.
Should be Empty:

Volunteer Application Form

Please provide us with the contact details of two people who have agreed to provide a reference for you: