Volunteer - Mitchell's Miracles

Name

First Last

Address

Street Address Address Line 2 City ZIP / Postal Code Country

Telephone number

Email

Please provide a next of kin in case of an emergency

Mobile Number

Home Number

N.B. You will need to inform us of any future changes in your personal details

Eligibility 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.

Data Protection Act:

We'd like to keep you up to date with event's, where we believe you may be interested in volunteering for. Please be assured that your personal information we collect about you will be securely stored and used in accordance with the Data Protection Act 1998.

How did you hear about our charity?

What type of voluntary role would you consider?

Fundraising event's
Marketing
Office / Administration
Charity tin distribution and collection
Not Sure

Please tell us why you wish to be a volunteer with Mitchell's Miracles.

Availability

Please let us know which days and times you are available to volunteer, subject to our event availability

Are there any specific days you prefer to do or days which you cannot do?

If you have particular skill's which could be of use to our charity e.g IT, Design, please provide details.

Please tell us about your leisure activities / hobbies

Date of Birth

DD

MM

YYYY

Please Select

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". If yes, which of the following best describes your disability? (choose all that apply)

Part of the volunteer recruitment procedure is for Mitchell's Miracles to obtain two references. Please give details of two people, who know you well, who can be approached. Please Note: Immediate family members are not included, but they do not have to be a present or past employers.

Name of first reference

First Last

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Email

Phone

Capacity in which referee knows you

Name of 2nd reference

First Last

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Email

Phone

Capacity in which referee knows you.

Thank you for filling out this form.

We will get back to you soon.

Volunteer for Mitchell's Miracles

Thank you for filling out this form.