Somerset Centre
Your details
Name: ______
Address: ______
______
______Postcode: ______
Home Tel No: ______Mobile No: ______
Email address:______@______
How would you like us to contact you?
Phone: Mobile ❒ Home ❒ Email: ❒ Post ❒
Emergency Contact Details
Next of Kin: ______
Relationship to you: ______
Contact Tel No/s: ______
Which volunteer vacancy (s) do you wish to apply for? (Please see www.nawt.org.uk for all volunteer vacancies, or contact the Volunteer Co-ordinator)
______
Are there any other roles you may be interested in? (Please tick all those that apply)
You will need to talk to the volunteer coordinator at the centre to discuss what volunteering opportunities are available.
Animal Volunteering
Dog life enrichment - Open Paw ❒ Agility team helper/member ❒
Cleaning Cattery & Cat Enrichment ❒ Cat life enrichment ❒
Small animal helper ❒ Farm animal helper ❒
Site Volunteering
Maintenance helper ❒
Gardening ❒
Fundraising/Promotional Volunteering
Individual Fundraising or challenges ❒
Community Speaker ❒
Barn Sales (sorting, setting up, managing or packing away) ❒
Help at Open Days (manning a stall, setting up, and promoting) ❒
Help at external events, (i.e. county shows) ❒ Events Assistant ❒
Ebay Seller (posting items and despatching sold goods) ❒
When would you be available to volunteer? (Please tick all those that apply)
Monday ❒ Tuesday ❒ Wednesday ❒ Thursday ❒ Friday ❒ Saturday ❒ Sunday ❒
Times available:______
Are you registered Disabled? Yes / No
If yes, can you please give brief details of your disability:______
______
Referees:
Due to the nature of some of our Volunteer Roles, for example working with animals/handling cash, we request that you supply details of two people we can contact for a reference. If possible, one of these should be a professional referee such as a current or previous employer.
Name: ______
Address: ______
______
______Postcode: ______
Tel No: ______Other Tel No: ______
Relationship to you:______
Name: ______
Address: ______
______
______Postcode: ______
Tel No: ______Other Tel No: ______
Relationship to you:______
Experience:
Please tell us about any particular skills or experience you have that would help you in the roles you are offering to undertake. (Expand on additional paper if necessary) ______
______
Volunteer Signature ______Date ______
Please note, we are unable to accept volunteers under 16 years of age and some roles have a minimum age of 18.
Before commencing any volunteering work with the Trust you will be required to sign the Volunteer Policy. It is not intended that a volunteer should have the status of employee or worker in relation to the volunteering activities undertaken or that they should derive a personal benefit from undertaking such activities.
Volunteers’ details are stored on computer and your details will be used in connection with your voluntary work within NAWT. Details will also be used for customer services, profiling your preferences and fundraising. If you do not wish your details to be used in this way, please tick the box q
Please complete & return this form to the Volunteer Coordinator at NAWT Somerset, Heaven’s Gate Farm, West Henley, Langport, Somerset, TA10 9BE
Thank You
The National Animal Welfare Trust is a registered charity in England & Wales
Registered charity number: 1090499
Head Office: Tylers Way, Watford-By-Pass, Watford, Hertfordshire, WD25 8WT