IntoUniversity Volunteering Scheme

Application Form

Personal Details
First name
Last name
Term time address
Mobile number
Preferred contact email
Course
Year of graduation
Knowledge, skills and training
Please describe any knowledge, skills and training that may be of value in this volunteering role.
Experience
Please describe any paid or unpaid work you have undertaken that you feel is relevant to this role.
Personal Qualities
What personal qualities do you hope to bring to the role?
How did you hear about this opportunity?

Please provide the name, relationship and email address for two referees. Please note, family members and friends cannot act as referees

Referee one / Referee two

Please email your completed form to

Your details will be stored by The University of Nottingham and IntoUniversity and used to contact you about the IntoUniversity Volunteering Scheme, as well as relevant future opportunities. If you no longer wish to be contacted about outreach work, or your details change, please email . Thank you.

In order to assist us with data monitoring please complete the Equality and diversity monitoring form below. The information is used to assist us with data monitoring and will not be taken into consideration for short-listing and interviewing purposes.

Equality and diversity monitoring

1.  How would you identify your gender?

Tick
Male
Female
Prefer not to say

2.  What is your date of birth?

dd / mm / yyyy

3.  How would you describe your ethnic origin?

Tick
White – British
White – Irish
White – Scottish
White – Welsh
Gypsy or traveller
Black or Black British – Caribbean
Black or Black British - African
Other Black Background
Indian or Asian British – Indian
Indian or Asian British - Pakistani
Indian or Asian British – Bangladeshi
Chinese or Chinese British
Other Chinese Background
Mixed – White and black Caribbean
Mixed – White and Black African
Mixed – White and Asian
Other mixed background (if not listed)
Arab
Other ethnic background (if not listed)
Not known
Prefer not to say

4.  Do you consider yourself to have a disability?

______

______