Volunteer Form

Please complete this form in as much detail as possible

Contact details

Full Name
Date of birth
Address
Postcode
Tel (home)
Tel (work)
Mobile
Fax
E-mail

Preferred means of communication? Other

Best times to contact you?

Approximately how many hours would you be prepared to volunteer a week?
Other amount

Is there a particular volunteering role which you would like to undertake for DPN?

Please tick as many as apply

Local Network Link / Representative Helpline Volunteer Newsletter Team Training and Public Speaking Photography Research Fundraising Organising events Accessible Information Co-ordinator Website Development Website link up-dates Media Relations Speaking to the Media Writing about your experiences for articles (website, magazines, etc)
Other

Relevant knowledge and experience

Please tick as many as apply

Information Technology Computer Skills E-mail Communication Internet Website Development Word Processing Working with databases

Administration Office Administration Organising events

Advice and Support Helpline Operation Counselling Disability Access Disability Awareness Disability Benefits Direct Payments Disability Rights Supporting Disabled Parents

Fundraising Fundraising Finance

Newsletter, Publicity & Media Relations Desktop Publishing Newsletter Editing Proof Reading Writing Articles Speaking to the Media about your Experiences Previous Experience of Media Involvement

Training and Research Training Public Speaking Research

Accessible Information Co-ordinating the Translation of Written Material into Accessible Formats Reading Written Material on to Audiocassette Translating Written Material into Braille

Other

Please give details of your knowledge and experience as ticked above

Is there any equipment or training that you feel you may need to help you to provide a volunteering role? Please give details

Is there anything else that you would like to share with us that you think is relevant to the work of DPN and a volunteering role?

Rererences

It is DPN’s policy to obtain references prior to taking on new volunteers. Please give the names of two people who will give references for you. One must be from your present or most recent employer and the other from someone who knows you well. If this is impossible, please give the names of two people who know you well.

Reference 1 Full Name
Organisation
Position
Address
Postcode
Telephone

Reference 2 Full Name
Organisation
Position
Address
Postcode
Telephone

Thank you for taking the time to complete this form Someone from DPN will be in touch with you shortly to talk further about your offer to provide a volunteering role for DPN

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last updated: 26 Nov 07

tags : Volunteering

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Registered Office: Disabled Parents Network, 81 Melton Road, West Bridgford, Nottingham, NG2 8EN. Registered Charity No: 1087662

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