Volunteer Application Form

Title*

Name*

First Last

Date of Birth

Email*

Phone*

Address*

Address Line 1 Address Line 2 City County Postcode

Which roles are you interested in? (tick all that apply)*

Do you have a sight loss condition?*

Yes
No

Why would you like to Volunteer with Support 4 Sight?*

Skills, qualities and experience*

Please tell us things about you that will help fulfil this role

Rehabilitation of Offenders Act 1974

Your role may bring you into contact with vulnerable people and is therefore subject to a Disclosure & Barring Service check. Should you have any convictions, these will need to be declared. Please ask for a disclosure sheet.

Do you have any unspent convictions?*

Yes
No

Where did you hear about us?*

Keeping in touch

In addition, we’d love to keep you informed about our support services, research and events, and suggest ways you might help by donating, taking part in fundraising activities, volunteering or adding your voice to public campaigns.

Please tell us how you would like to hear from us, by choosing every box that applies to you*

Post
Email
Phone

Can we send you emails with newsletters and information?*

Yes
No

Are you a Driver?*

Yes
No

Volunteer References

Please provide the names of two people we can contact for character references. These may be friends but not family members.

Title*

Name*

First Last

Address

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

Email

Title of Referee 2*

Name*

First Last

Address

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

Email

Rehabilitation of Offenders Act 1974

Keeping in touch

Volunteer References

Thank you for Applying

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