Volunteer Registration Form

Title

MrMrsMissMs

Surname

Date of Birth:

Firstname


Postal Address:

Home Telephone

Mobile Telephone


Email Address:


Preferred method of contact:

Home TelephoneMobile TelephoneEmail

How did you hear about volunteering for us?


What days/times are you able to volunteer? Please tick all that apply:

WeekdaysDay TimesEveningsFlexible

WeekendsDay TimesEveningsFlexible

Term TimeSchool Holidays


Milltown Races Dates: Are you able to volunteer on the day

Milltown Sprint Tri Date TBC 2018
Oldham 7K Sunday 14th May 2017
Oldham 10K Sunday 18th June 2017
Oldham Half Sunday 15th October 2017

Health

• Disability or health problems need not prevent you becoming a volunteer.
• The information you give will be treated in confidence.
• We ask for this information because it may help us to make adaptations to the volunteer role to help you.
• Are you generally in good health YesNo


Do you have any disabilities or health problems that might affect you volunteering and are there any reasonable adjustments we can make to help you?

Please give the names and contact details of two family members or friends who we should contact on your behalf in the case of an emergency

Contact 1

Name

Relationship

Home Telephone

Work Telephone

Mobile Telephone

Contact 2

Name

Relationship

Home Telephone

Work Telephone

Mobile Telephone

Your G.P's Details

Doctor's Name:

Practice Name:

Practice Telephone Number:

CONFIDENTIALITY As a volunteer you will be expected to adhere to the same codes of practice as staff members.

EQUAL OPPORTUNITIES All volunteer applications are welcomed. We aim to provide equal opportunities for all volunteers who have the appropriate skills, experience and potential to fulfil a particular role.

VOLUNTEER STATEMENT

The information on this for is true and accurate. As a volunteer I agree to abide by the policies and procedures of Oldham Community Leisure.

In accordance with the Data Proctection Act 1998 I give permission for my personal details to be stored and used in connection with my volunteering role. I understand that this data may be processed in connection with equal opportunities, health and safety and allow Oldham Community Leisure to comply with national standards.

I understand that, as a volunteer, no contract of employment with exist between me and Oldham Community Leisure