Personal Information
Date of Birth (dd/mm/yy)
Date
1
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Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1965
1966
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2001
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2003
2004
2005
2006
2007
2008
2009
2010
2011
Your Experience
Have you ever done voluntary work before?
YES
NO
If yes, please give details
What are your Hobbies, Skills or special interests you feel may be relevant?
Why do you want to volunteer?
What kind of voluntary work would interest you?
When are you available for your voluntary work?
What generally suits me best is :
Length of time available? (e.g.We ask for at least
6 months commitment.)
Have you any particular skills
or qualities you feel you could bring to this voluntary work?
Have you any special needs that you feel we should know about?
How did you hear about the Befriending Service?
Is there anywhere you might suggest we could advertise the service? Website?
Please supply contact details for two references (not relatives) to whom we may refer. Alternatively you may supply Guarda Clearance by post.