Employee information form

							                                                  Volunteer Form

                                               Personal Information

Full Name:          (Title: Dr, Mr, Mrs, Miss, Ms )


Address:
                    Street Address



                    City                                                             Post Code


Mobile number:                                               Home number:


Email:

Other :



Date of Birth:                            Nationality:

Employed/
unemployed/
Student?:

Profession /
Name of college/
university?


                                                         Interests

Please tell us about any particular interests/ skills you have?




Tick the areas you would like to volunteer with:
 All areas/ I don’t mind                      Fundraising activities/       Call Centre
                                              events
 Admin Support                                Mosque Collections            Other (please
                                                                            specify)
                                               Availability

We will have various different activities taking place during over the period of June, July, August and
September 2012. Please tick the months and time of day during the week that you will be available to
help: (Don’t worry this can be a general estimate – we will contact you to confirm)

June
July
August
September




                Monday       Tuesday     Wednesday     Thursday      Friday        Saturday     Sunday
Morning
Evening
Any time/
All Day



Are there specific dates you will not be available? (holiday, interviews, other commitments)




                                   Emergency Contact Information

Full Name:


Address:
                  Street Address



                  City                                                                    Post Code



Primary Phone:                                    Alternate Phone:

Relationship:


                                           Completed Forms

For enquiries please e-mail: info@zakat-house.com

Send completed forms to: info@zakat-house.com or post to: YRDF, Zakat House, 233 Shaftesbury
Avenue, London WC2H 8EE