Scarborough and District Branch Volunteer Application Form
Personal Details
Name
Address and postcode
Telephone (Day)		Telephone (Evening)
Mobile Telephone No.		Email address
Volunteer Interest – Please tick those areas of volunteering in which you are interested
Home Visiting – *please note you must have a driving licence and access to your own vehicle.			Charity Shop
Fundraising	Administration		Committee Work
Internet/pc work	Helping at events
Other – please specify
Availability – at what times are you available for volunteering?
Flexible	Daytime		Weekends
Weekdays	Evenings
How much time do you have to offer? (e.g. one day a week/fortnight etc.)
Present employment/volunteering experience
Previous employment/volunteering experience

Details of other skills or interests

Are you aware of any medical condition which may affect your ability to undertake the volunteering activities you have indicated on the form?

Referees: Please provide details of two people (not a relation) who we may ask for a reference

Name

Name

Address and postcode

Address and postcode

Telephone

Telephone

Relationship of referee to you

Relationship of referee to you

We look forward to receiving your application and will ensure that any information that you have provided about yourself will be treated as confidential. Your details may be kept on a volunteer database and we may use the data to keep you up to date with other volunteer opportunities and RSPCA news. The RSPCA may also use your name in future to advise you of other interests which could be of benefit to the RSPCA. Should you prefer not to receive these separate mailings, please tick this box.

Signature:

Date:

Please return this form to:

Catherine Herdman

Volunteer Co-ordinator

RSPCA Charity Shop

8a–10 Victoria Road

Scarborough

YO11 1SD

RSPCA Use only

Interview date

Interviewer name

Will volunteer undertake volunteering activity?

Yes

No

If yes, which activity?

If no, give reason(s) why

Induction date if applicable