Volunteer Application Form:
Dancing Queen/King
Thank you for your interest in volunteering with Dancing With The Students.
Volunteers play a vital role in the communities of our schools and Dancing With The Students network.
All volunteer applications are reviewed with consideration of current volunteer opportunities. The
information you provide will be stored in confidence under the provisions of the Data Protection Act.
Your completed form will be held securely and confidentially. Only authorized staff will have access to
your information.
For an extensive list of the job requirements and expectations of a Dancing Queen/King please refer to
the Dancing Queen/King Information Sheet.
Personal Details
Name:__________________________________________ Mr.  Mrs.  Miss.  Ms. 
Postal Address: ____________________________________________________________________
County: __________________________
Telephone: (Home) _________________________
(Mobile) __________________________
E-Mail: __________________________________________
Birth-date: _______________________________________
Day / Month / Year
If you are involved with us as a volunteer and an emergency arises, whom should we contact?
Name: _______________________________________ Relationship: _________________________
Telephone: (Home) _________________________
(Mobile) ________________________
Clearances
Dancing With The Students is committed to standards of excellence in Child Protection practices. Since
your volunteer role will have direct contact with children, you will be required to provide a copy of
your personal PA Criminal Record Check and a PA Child Abuse Clearance form to the Director
of Programming prior to entering a school.
Equal Opportunities
Dancing With The Students is committed to equal opportunities and all volunteer recruitment decisions
will be based on merit, suitability for the role and experience. All volunteer recruitment decisions will not
be influenced by race, color, nationality, religion, sex, marital status, family status, sexual orientation,
disability, age or membership of the Traveller Community. Dancing With The Students fully endorses a
working environment free from discrimination and harassment.
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Volunteer Questions
1. When are you available for voluntary work?
Monday
Tuesday
Wednesday
 Totally Flexible
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
2. How did you find out about volunteering with Dancing With The Students?
 Dancing With The Students Website
 Word of Mouth
 Internet www._______________________
 Other ____________________
 Media Radio / Television / Newspaper
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References
1.
Name: ______________________________________ Relationship: _________________________
Place of Work: ________________________________
(If applicable)
Position: _________________________
Telephone: (Home) ____________________________
(Mobile) ___________________________
E-Mail: ______________________________________
2.
Name: ______________________________________ Relationship: _________________________
Place of Work: ________________________________
(If applicable)
Position: _________________________
Telephone: (Home) ____________________________
(Mobile) ___________________________
E-Mail: ______________________________________
If you have any queries when completing this application form, please phone K.O. DelMarcelle,
Director of Programming, at (908) 310- 3545 or e-mail at [email protected]
Is there any additional information you would like to bring to our attention?
I declare that the information I have provided is true. All my actions as a volunteer will reflect the
ethos of Dancing With The Students.
Signed __________________________________________
Date __________________________
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