Form Page: folly_reception

Folly Wildlife Rescue Trust

WILDLIFE HOSPITAL RECEPTION VOLUNTEER FORM

All information given is kept private and confidential. We only use the information provided for the purpose of volunteer selection. Once completed please click on the 'Submit' button at the bottom of the page and we will contact you in due course.

Title:

Surname:

Forename:

Address:

Town / City:

County:

Postcode:

Home Tel:

Mobile:

Email:

Date Of Birth

Day:

Month:

Year:

Next Of Kin:

Next Of Kin Contact Number:

Relationship To You:

Do you suffer from any illness or conditions, such as respiratory, muscular skeletal or mental health conditions that we should be aware of?

If Yes, please give details:

Are you up to date with Tetanus immunisation:

If the answer is no, would you please make arrangements with your GP to be immunised before commencing work with the Trust.

If you suffer from asthma, have a bronchial complaint, or are in any way allergic to animals (fur, feathers etc.), you may wish to consult your GP before considering an application for voluntary work with the Trust.

You will be working within an animal unit. Please confirm you will be comfortable with this and are happy to handle a variety of birds and animals as required. Please list any concerns:

For for the purpose of accurate record keeping you will be asked to provide a passport photo and this should be brought with you on your first day.

Electronically Signed (Print Name):

Date:

WE RESERVE THE RIGHT TO TERMINATE UNSATISFACTORY VOLUNTEER STAFF AT ANY TIME SHOULD THIS BE NECESSARY

Once you have clicked on the "Submit" button you will be taken back to the main website