Volunteer Application - Brinsley Animal Rescue

Title

Mr Mrs Ms Miss

Date of Birth (if under 21)

Full Name

Full Address

Home Phone

Mobile Number

Email Address

Volunteering Details

Why do you want to volunteer with us?

Volunteering Timescales

Longer Term Short Term (Work Experience or Duke of Edinburgh)

Short Term Availability Comments

For short term volunteering, please state the prefered dates, duration and any comments below.

Please detail ALL relevant medical or physical conditions, which the charity needs to be aware of for your and/or other people's safety and welfare, (e.g. allergies, injuries, disabilities, etc.)

If you would rather speak to a Trustee privately, this can be arranged, please request this in the box above. NB if you have any concerns about your health please seek the prior advice from your GP.

Please detail any relevant experience of working with animals or charity involvement.

Detail below any special skills of qualifications you have from employment, previous volunteer work, or through other activities, including hobbies or sports that you could offer to help the Charity.

Competency Details

Are you confident with the following? If you answer 'No' to any of the questions, please provide details.

Cleaning out sheds, cages and stables?

Yes No