Volunteering Opportunity Registration Form

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Volunteering Opportunity Registration Form Powered By Docstoc
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                                    Volunteer Registration Form
                                                 Confidentiality
Information disclosed on this form which is likely to be of relevance to any organisation to which we refer you, may
be passed to that organisation in the process of trying to find a relevant volunteering opportunity.

Title:                  First Name:                                     Surname:
Address:                                                   Course:
                                                           UB No:
Postcode:                                                  Email:
Tel:                                                       Mobile:
How did you hear about us?



Who or What would you like to help? (Please tick)
Animals                                       Health and Hospital and Hospices                                  
Arts and Culture                              Heritage                                                          
Children                                      Homeless and Housing                                              
Disability                                    Legal Aid and Justice                                             
Disaster Relief                               Mental Health                                                     
Domestic Violence                             Mentoring                                                         
Drugs and Addiction                           Museums                                                           
Education and Literacy                        Music                                                             
Elderly                                       Prisoners and Ex-offenders                                        
Emergency Services                            Race and Ethnicity and Refugees                                   
Environment                                   Sport and Outdoor Activities                                      
Families                                      Women's Groups                                                    
Gay, Lesbian, Bi and Transsexual              Youth                                                             

What skills would you like to develop? (Please tick)
Administration                                  Gardening                                                       
Advice, Information and Support                 General and Helping                                             
Architecture and Building Work                  Hostel Work                                                     
Art                                             Languages                                                       
Befriending / Buddying                          Legal Work                                                      
Business, Management and Research               Local Events                                                    
Caring                                          Marketing and PR and Media                                      
Catering                                        Mentoring                                                       
Community Work                                  Music                                                           
Computers, Technology and Web Design            Officials                                                       
Counselling                                     Practical Work and DIY                                          
Driving                                         Retail and Charity Shops                                        
Employee/Group Volunteering                     Sports Development                                              
Entertainment                                   Teaching, Training and Coaching                                 
Finance Work                                    Trusteeship/Committee Work                                      
First Aid                                       Youth Work                                                      
Fundraising                                     Volunteering Awards                                             
Equal Opportunities Monitoring
What is your date of birth?                                   What is your ethnic group? (This list reflects the
                                                              National census 2001)
-------------------------------------------
                                                              White British 
Are you:       Male         Female                          White British (English) 
                                                              White British (Scottish) 
Age Range                                                     White British (Welsh) 
Under 15           15-18               19-25               White Irish 
26-29              30-34               35-39               Other White Background ………………………….
40-44              45-49               50-54 
                                                              Bangladeshi 
55-59              60-64               Over 65 
                                                              Indian 
Employment Status                                             Pakistani 
                                                              Chinese 
Employed  Employed Part-time                                Other Asian Background ………………………….
House person  Non Employed 
Retired  Self-Employed  Student                            Black African 
Unable to Work  Unemployed                                  Black Caribbean 
                                                              Other Black Background ………………………….
Do you count yourself as having any disabilities?
                                                              White and Asian 
Yes                No                                       White and Black African 
Do you have any additional support needs ?                    White and Black Caribbean 
Yes                No                                       Other Mixed Background ………………………….
                                                              Other Ethnic group ………………………………...


Data Protection
I give permission for my details to be held by UBU Community Volunteering for the purposes of linking me with
possible volunteering placements, providing me with information, and for monitoring and evaluation purposes. I
understand that this information may also be shared with potential volunteering placements and give permission for
the UBU Community Volunteering to negotiate with those organisations on my behalf.


Signed: …………………………………………………… Date: ……………………………………….


 PLEASE RETURN YOUR COMPLETED REGISTRATION FORM TO YOUR NEAREST CENTRE
          AND WE WILL GET IN TOUCH WITH YOU AS SOON AS POSSIBLE:
                                       UBU Community Volunteering
University of Bradford Students Union, Student Central, Richmond Road, Bradford.
                            West Yorkshire. BD7 1DP

Office Use
Opps                                           Action                              Notes: Previous Volunteering Exp; Why
                                               taken                               you want to volunteer; How much time
                                                                                   available to volunteer etc.




                                                                            * Services of Volunteering Bradford

				
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