Moors for the Future Research and Monitoring

VolunteerRegistration Form 2012

Title: / First Name: / Surname:
Address:
Postcode:
DOB:
Home Phone: / Mobile:
Email address:
Tick here to join our email list to receive information about voluntary opportunities:

You should be aware that many of our sites are in remote locations and own transport is often essential. If you do not have access to transport then trains to Edale are a possibility, but please note that the train times are not very regular, and we cannot guarantee to be able to work around this timetable!

Own car? / Yes / No
What days are you most likely to be able to volunteer?
Monday / Tuesday / Wednesday / Thursday / Friday
Notes:
Which areas of monitoring work are you most interested in?
Vegetation monitoring / Water quality
Hydrology (water tables) / General assistance (ad hoc)
Please indicate any experience you have in the following areas:
(Lack of experience in any of the areas below will not exclude you from voluntary work)
Botanical ID skills / Mountain leadership
Zoological ID skills / Navigational skills
Biological survey skills / First aid:
Certificate type:
Expiry date:

How far are you willing to travel to site?

What is your preferred region for voluntary work?
PeakDistrictNational Park
(Kinder Scout, Bleaklow, Black Hill)
South Pennines SAC
(Areas around Saddleworth, Rishworth, and Todmorden)
Don’t mind

Do you have appropriate outdoor clothing for fieldwork? (i.e. waterproof coat/trousers, stout walking boots. Please note that trainers and jeans are not acceptable hill walking attire. Volunteers who are not appropriately dressed may not be allowed on site)

YesNo

Please tell us about any relevant qualifications, studies or experience you have:
Personal Reference (only if requested) / Emergency contact
Name: / Name:
Organisation: / Address:
Address: / Phone no.Home:
Work:
Mobile:
Phone number:
Relationship to you: / Relationship to you:
Do you have any medical problems or medication that you would like to bring to our attention?
It is up to you to inform us, and anybody else who needs to know, of relevant health information.
I understand that my details will be held on the Moors for the Future volunteer database and that this database will only be used for purposes related to MFF volunteering. It is my responsibility to ensure that emergency contact details and relevant health information is kept up-to-date.
Signed: / Date:

Please return this form to Gareth Roberts, Moors for the Future, The Moorland Centre, Edale, Derbyshire S33 7ZA, .

June 2011

Equality and Diversity Monitoring Form

The Moors for the Future Partnership aims to provide equal opportunities and fair treatment for all volunteers. We:

seek to ensure that no volunteer is unfairly discriminated against, either directly or indirectly on such grounds as sex or sexuality, colour, creed, ethnic or national origin, disability, age, marital status, trade union activity, responsibility for dependants, political or religious beliefs or a criminal record.

will endeavour to ensure that all actions and decisions affecting volunteer applicants are made on fair, objective grounds without personal prejudices or discrimination.

______

Please complete the form below and email or post to the address below. The information you provide will allow us to monitor our volunteer recruitment policies and practices and will be used to provide an overall profile analysis of our volunteer base.

The information below is anonymous and will not be stored with any identifying information about you. All details are held in accordance with the Data Protection Act 1998.

If you would like the form in an alternative format or would like help in completing the form, please contact a member of staff.

Ethinicity

The categories below are based on the 2001 Census in alphabetical order.

Asian
Indian
Pakistani
Bangladeshi
Any other Asian background
(please write in) / Black
Caribbean
African
Any other Black background
(please write in) / Chinese or other ethnic group
Chinese
Any other ethnic group
(please write in)
Mixed
White and Black Caribbean
White and Black African
White and Asian
Any other mixed background
(please write in) / White
English
Irish
Scottish
Welsh
Any other white background (please write in) / Rather not say
Age: Rather not say

Disability

The Disability Discrimination Act 1995 (DDA) defines a person as disabled if they have a physical or mental impairment which has a substantial and long term (i.e. has lasted or is expected to last at least 12 months) adverse effects on one’s ability to carry out normal day-to-day activities. This definition includes conditions such as cancer, HIV, mental illness and learning disabilities. Do you consider yourself to have a disability according to the above definition?
Yes No Rather not say

Gender

Female Male Rather not say

Postcode

Please provide us with the first part of your postcode:

Today’s date:

This application form can be returned alongside your volunteer registration form by post to:

Moors for the Future Partnership

The Moorland Centre

Fieldhead

Edale

S33 7ZA

Or by email to:

June 2011