Registered Charity 208111

PERSONAL DETAILS
Title: / Surname: / Forenames:
Date of Birth:
Address:
Post Code:
Home Telephone: / Work Telephone:
Mobile: / E-mail:
THE VOLUNTARY WORK
Which work you would like to volunteer for? (Please tick) /  The Charity Shop
The Cattery
 Home Visitor
A. The Charity Shop, 121 Church Road, Willesborough
When would you be available to work in the Shop? (Please tick as appropriate)

MONDAY

/ TUESDAY / WEDNESDAY / THURSDAY / FRIDAY / SATURDAY
Which hours would you prefer to work? (Please tick as appropriate)
8.30am – 12.00 noon / 12.00 noon – 2.30pm / 2.00pm – 5.00pm
B. The Cattery, 34 Station Road, Ashford
When would you be available to work in the Cattery? (Please tick as appropriate)
MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAY / SATURDAY / SUNDAY
Which hours would you prefer to work? (Please tick as appropriate)
8.30am – 12.30pm / 12.00 noon – 4.00pm
C. Home Visitors, throughout Ashford, Tenterden & District
Do you have a full Driving Licence? /

YES / NO

Do you have access to a vehicle? /

YES / NO

Do you have access to a telephone, fax or e-mail? /

YES / NO

Would you be available to work evenings and weekends? /

YES / NO

SKILLS

Do you feel you have any particular skills that you feel would be an asset to your choice of voluntary work? (e.g. shop experience, computer skills, cat handling, dealing with people etc.)
FUNDRAISING AND EVENTS
There are plenty of opportunities to get involved with fundraising and events for the cattery. Please indicate whether you would be interested in assisting in this area. Please ensure a valid email address is provided to enable us to keep you updated with cattery events (please note email addresses will only be used for this purpose and will not be provided to ANY third parties) /

YES / NO

EMERGENCY CONTACT DETAILS
Contact Name (in case of emergency):
Relationship to yourself:
Daytime Address:
Daytime Telephone No. / Mobile:
Name of your Doctor:
Address of Surgery:
Surgery Tel No.:
REFERENCES
Please give the names and addresses of two people who would be prepared to provide the Society with a personal reference.(These people should not be related to you.)
Name:
Address:
Post Code:
Length of time you have known the person:
Name:
Address:
Post Code:
Length of time you have known the person:
Are you a member of the RSPCA? / Membership No.:
Do you work with any other animal welfare organisations? YES / NO
If so, please give details:
The information you have provided on this form will be processed in line with the Data Protection Act 1998. To process your application we may need to disclose the information we receive from you to others.
I agree to the RSPCA processing and retaining the personal information contained on this form for any purposes connected to my application or my health and safety while on the premises.
Signed: / Dated:
Your details will 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.
Thank you for taking the time to complete this form.
We are delighted you are applying to work as a volunteer for this Branch of the Society.
Please return this application form to:
Lynsey Kendall (Volunteer Co-ordinator), 34 Station Road, Ashford, Kent TN23 1PH (Tel: 07585 504299)