Volunteer Application Form Name Address Tel. no Email Disability (regardless of whether registered disabled) or any medical conditions we need to be aware off: How did you find out about our volunteering opportunities? Emergency Emergency Contact Name Contact Tel. Referees Please provide the name, address and telephone number of two referees. Please state the capacity in which you are known by each referee. At least one should be a professional referee Referee 1: Name Address Tel. No. E-mail. Relationship to you Referee 2: Name Address Tel. No. E-mail Relationship to you Have you ever been convicted of any criminal offence or been disciplined by any professional body such as OISC or SRA (if yes, please give details)? The withholding, falsification or omitting of relevant information by a successful candidate are grounds for action being taken by the Law Centre Management Committee. To the best of my knowledge and belief, the particulars given on this form are correct and complete. I confirm that I am 18 years or over. Signature Appendix 13 Date 1 Availability to Volunteer We are looking for volunteers to commit a minimum of 3 hours per week between 1.30pm and 4.30pm on a Monday to Friday for a minimum of 3 months. Which days would you be available to attend? Upcoming induction sessions: Please tick which session you would like to attend if you cannot attend an induction session please say so below. We cannot commit to offering alternatives due to high demand. Monday 6th June 3.30-4.30pm Monday 7th June 3pm-4pm Cannot make either About you Why do you want to volunteer for the Law Centre? Tell us about any relevant skills or experience you can bring to the role? Please return your form to [email protected] by Tuesday 31st May 2016. Applications will be reviewed on a fortnightly basis and we will contact you to book you a place on the induction if you are successful in your application. Applications may close early if demand is high. Appendix 13 2
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