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Contact Details

Name:
Gender: Male
Female
Date of Birth:
Address:
Home Phone:
Mobile:
Email Address:

Education & Employment

 

Educational Background:
Courses relating to animals, if any:
Current Occupation:
Skills, Interests, Hobbies:
Full Drivers Licence: Yes
No
Own Transport: Yes
No

Volunteering & Experience

 

Previous Volunteer Experience, if any:
Experience with animals, if any:
Do you have skills that may be helpful (DIY, building, gardening, fundraising, administration etc):
Please tick which volunteering schedules you are interested in: Weekdays
Weekends
Live in
Why do you want to volunteer at NEAS?:
Where did you see this position advertised?:
When are you available to start?:
Have you any medical conditions or allergies?:

References

Please provide contact details of two people we may contact for references:

For example employers, co-workers, teachers, community leaders or management of volunteer organisations. Please do not give family members and friends as your referees.

Reference 1
Name, Address, Context in which you know this person & Phone number:

Reference 2
Name, Address, Context in which you know this person & Phone number:
Volunteers accept that they work with animals at their own risk and exercise caution, asking all necessary questions and seeking guidance in how to approach each animal and situation: I agree with the above statement
Date:

 

 

 
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