Volunteer Application Form

Applicants must be 18 years of age or over.

Please mark your envelope ‘CONFIDENTIAL’ and return to:

Admin and HR Officer, The MAC, 10 Exchange Street West, Belfast, BT1 2NJ

Electronically completed application forms can be emailed to

Contact Details:

Name: ______

Address: ______

______

Date of Birth: ______

Home Tel No: ______Mobile No: ______

Email: ______(please note that all communication will be via email however please advise if

you require an alternative method of communication) ______

List Any Previous or Current Volunteer Experience:

OrganisationPosition/Major Responsibility Dates of service (yy/mm)

From:To:

1______

2______

3______

4______

List Your Employment/Training Background:

EmployerPosition/Major Responsibility Dates of service (yy/mm)

From:To:

1______

2______

3______

4______

Which volunteer roles are you interested in? You can select more than one option:

Gallery Navigator

Front of House Support

Workshop Support

MAC Navigator

MAC Technical Support

What attracts you to volunteering at the MAC?

______

______

______

______

Describe your relevant Volunteer/ work experience:

______

______

______

______

List the skills/qualities that you will bring to theroles you are interested in:

______

______

______

______

AVAILABILITY

The MAC volunteer shifts will be flexible to fit your lifestyle and availability.

Please outline how much time you can commit to volunteering at the MAC:

______

______

______

Please provide details of two referees (not relatives) from who references may be obtained:

Reference 1 / Reference 2
Name: / Name:
Occupation: / Occupation:
Address: / Address:
Postcode: / Postcode:
Phone No: / Phone No:
Email: / Email:

Support Needs

Do you consider yourself to have a disability or support needs which is relevant to your application? / Yes
No
If yes, is there anything we need to know about your disability or support needs in order to ensure you have equality of opportunity?
______

______

Signed: / Date:

Please note if your application is successful you will be asked for consent for criminal record (Access NI)checks.