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Volunteer

Title

First Name

Surname

Address

Postal Code

Mobile No.

Home No.

Email Address

Date of Birth

Sex

 Male Female

Nationality

Religion

Marital Status

Next of Kin Name

Contact Details

Occupation

Picture

Sharp and clear, 35mm width by 45mm height and taken within the last 3 months, size of the image should not more than 150 Kbytes.

Relevant Experience and Qualifications

What length of time you wish to volunteer?

What time of year do you wish to volunteer?

What is your interest in this project?

Medical Information

In the interest of placing volunteers appropriately for their safety and the safety of others please answer the following questions.

Are you on any medication?

If yes please describe below:

Do you have any medical conditions?

If yes please describe below:

Do you have any physical disabilities?

If yes please describe below:

Do you have any special dietary requirements?

If yes please describe below:

Do you suffer from any allergies?

If yes please describe below:

About Yourself

Please tell us about yourself (personal interests, travel experience, prior volunteer experience, etc)

Please provide the name, address, telephone number and email of three referees.

At least one should be personal and one professional. These should not be a member of your family. And should be from people who can demonstrate that they have known you for a period of time. These referees will be asked to provide a character reference and comment on your particular skills and suitability in relation to the work and volunteer program of The Island Foundation.

Referee 1:

Name

Address

Mobile No.

Email Address

Referee 2:

Name

Address

Mobile No.

Email Address

Referee 3:

Name

Address

Mobile No.

Email Address

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I hereby agree that the information above is to the best of my knowledge full and accurate and I have not withheld information that could knowingly put at risk others or myself.