Charity Shop Volunteer Application Form

  1. Personal details
Title / First name / Surname
Address
D.O.B / dd / mm / yyy / *please note you must be over 18 years / Telephone
(with area code)
Mobile / Email

We would like to keep in touch to tell you about exciting volunteering opportunities, and other activities across the charity.

For volunteering opportunities, please contact me by: / Email / Post / Phone / (Please tick all that apply)
Please add me to the newsletter mailing list: / Email / Post

Emergency Contact Information:

Name / Relationship
Telephone / Mobile
(with area code)

2. Application information

Your availability / Mon / Tues / Weds / Thurs / Fri / Sat / Sun / Varies
(Please tick as appropriate) / am / pm / am / pm / am / pm / am / pm / am / pm / am / pm / am / pm
Relevant education, experience and skills
Current employment status: / Full time / Part time / Retired / Unemployed / Student
Job title
Please state where you heard about our volunteering programme
Do you have any unspent criminal convictions? / Yes / No
If yes, please give details:

4. Equal Opportunities Monitoring

This information is used only for the purposes of ensuring the effectiveness of our Equal Opportunities Policy.

F / M / Age Group: / 18-20 / 21-30 / 31-40 / 41-50 / 51-60 / 61-70 / 70+

Gender

How would you describe yourself? These categories of ethnic origin are recommended by the commission for Racial Equality as the most appropriate for monitoring the UK. We recognise that the specific categories may not be appropriate for everyone. If this is the case, please use the last box.

Asian or Asian British: / Black or Black British:
Indian / Black Caribbean
Pakistani / Black African
Bangladeshi / Any other Black background
Any other Asian background / (please specify)
(please specify)
Mixed:
Chinese:
White:
White British / Any other Ethnic background
White Irish / (please specify)
Any other white background
(please specify)
Do you consider yourself to have a disability/impairment? / Yes / No
If yes, please specify

If yes, please specify below any particular needs you may have in relation to your disability/impairment?

5. Declaration