Form Page: folly_student

Folly Wildlife Rescue Trust

STUDENT VOLUNTEER APPLICATION 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:

Forename:

Surname:

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:

You will be required to handle a variety of birds and animals and training will be given. Please confirm you will be happy to do this and provide details of any concerns you may have.

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.

Please list previous work experience (if any) and any experience working with animals
(domestic or wildlife):

Name Of School/College:

Name Of Course:

Name Of Tutor:

Tutor Contact Number:

Required Dates:

Folly Wildlife Rescue is in a rural location and approximately one mile from the nearest bus stop. Please detail below your transport arrangements and estimated journey time:

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

Electronic Signature (Print Name):

Date:

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

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