Volunteer Application Form
Share Discovery Village, Smiths Strand, Lisnaskea, Co. Fermanagh BT92 OEQ
Name: _____________________________________________________
Address: ______________________________________________________
_____________________________Postcode:________________________
Home Telephone: __________________ Mobile: ______________________
Email:___________________________________________
Date of Birth: _______________________ Age: _______________________
Present Occupation: ____________________________________________
Previous Relevant Experience: ___________________________________
______________________________________________________________
I would like to be a Share Volunteer because...
______________________________________________________________
Do you have any special requirements (food/medical)? ______________
Are you volunteering as part of your Duke of Edinburgh Award
Yes / No
Please tick which area of volunteering is of most interest to you.
Weekend Activities: - Helping staff deliver a programme of water and land
based activities, to groups of all ages and abilities.
Senior volunteer:- use your skills to assist with activities and/or maintenance
as well as pass on your knowledge to the next generation.
International volunteer:- asssist with all centre activities and duties.
Summer volunteering:- Helping staff deliver activity programmes and carry
out other centre duties.
Other Site duties - maintenance, repairing, kitchen or house-keeping.:- use
your skills for indoor and/or outdoor projects.
Other: Please specify any other area of volunteering that interests you.
______________________________________________________________
______________________________________________________________
When are you available to volunteer? (E.g. weekends, summer, specific dates etc.)
___________________________________________________________________
Have you ever been convicted of a criminal offence, or been the subject of a Caution
or Bound-Over Order?
(All convictions, including spent convictions & cases pending, must be declared. A
criminal record will not necessarily be a bar to you obtaining this voluntary position.)
YES / NO
If yes, please state the nature and date of the offence.
______________________________________________________________
Is there any reason why you cannot work in regulated activity with children?
YES / NO
If yes please state why.
______________________________________________________________
If offered a position, do you object to your name being submitted for an AccessNI
disclosure check?
YES / NO
If you are subject to an AccessNI disclosure there is a Code of Practice and
explanatory guide for the process, this is available to you on demand. Please
contact [email protected] if you would like a copy of this.
Please supply the following information, 2 referees who can comment on your
suitability as a volunteer. (These should not be family members.)
Name: ______________________
Name: __________________________
Email Address: _______________
Email Address: ___________________
Phone No: __________________
Phone No: _______________________
Relationship:_________________
Relationship:______________________
Signature of applicant: __________________________ Date: ________________
Please attach a recent passport size photograph to
application.
BY SIGNING THIS FORM YOU AGREE TO YOUR NAME AND CONTACT DETAILS
BEING PLACED ON OUR INTRANET FOR CO-ORDINATORS TO VIEW. ALL OTHER
INFORMATION CONTAINED IN THIS APPLICATION WILL BE TREATED IN STRICT
CONFIDENCE.
For Office Use Only
Date App Rec...............
App rec Email ..............
Access NI Posted.................
Payment Rec. .....................................
Parent PF Rec....................................
Refs Emailed.......................................
1st Refs Rec...............................................
2nd Ref Rec................................................
Confirmation Emailed................................
