Volunteer - form - Mitchell's Miracles

Volunteer - application form

* Indicates required field

Name *

First

Last

Full address *

Line 2 *

City *

County *

Postcode *

Email *

Phone Number *

Date of birth *

Gender *

Do you consider yourself to have a disability? *

The Equality Act 2010 defines disability as "a physical or mental impairment which has a substantial and long-term adverse effect on (a person's) ability to carry out normal day-to-day activities".

Please describe your disability; e.g. do you have mobility issues, are you a wheelchair user, have sight, speaking, learning or hearing difficulties, have a long term illness or prefer not to say *

In case of an emergency, please provide the name and contact number for your next of kin

Name *

First

Last

Phone Number *

Are you eligible to volunteer in the UK? Please be advised that if you are not a permanent resident of the UK, or are temporarily studying in the UK you may need to check with the UK Border Agency website to ensure you are legally able to volunteer in the UK. *

Yes

How did you hear about Mitchell's Miracles? *

What type of voluntary role would you consider? *

Why would you like to volunteer for Mitchell's Miracles? *

Please let us know the days and times you would like to volunteer (i.e. weekday or weekends, mornings or afternoons) *

Do you have any particular skills which could be of use to our charity e.g IT, Design etc? *

Please tell us about your leisure activities/hobbies *

Part of the volunteer recruitment procedure requires Mitchell's Miracles to obtain two references. Please give details of two people, who know you well, that can be approached. Please note that we cannot accept references from immediate family members but they do not have to be a present or past employer .

Date of form submission *

Submit