ABOUT YOU

Title*

Given Name*

Family Name*

Age*
17-2425-4445-6465+

Address #1*

Address #2

Town/City*

County

Postcode*

Tel (home)*

Tel (mobile)

Email Address*

Are you currently? (please tick)*

Employed full timeEmployed part timeStudent full timeStudent part timeSeeking employmentHouse husband/wifeUnable to workRetiredOther

VOLUNTEERING

Which role would you like to undertake? (please tick all that apply)*
Shop VolunteerTrolley VolunteerStockroom Volunteer

Which day/s and times would you prefer to volunteer? (please tick all that apply)*

MORNING
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
AFTERNOON
MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Is there anything that particularly attracts you to volunteering with Barts Guild?*

PERSONAL DATA
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