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Volunteer Application
Applying for a volunteer role within Diamond Hampers CIC
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Name *
Address *
Contact Telephone Number *
Email Address *
Date Of Birth *
MM
/
DD
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YYYY
Medical Information 
Do you have any medical/health concerns that you would like us to be aware of?

Please use the space below to explain and inform us to how we can best support you with this.
Emergency Contact
Please use this space to tell us the information for your emergency contact. 
Including:
Name
Telephone/email
Relationship to you
 *
What Days Are You Available? *
Required
What Shift Pattern Can you do? *
Education
Please use this space to tell us what education you have had, what grades you achieved and at what level.
Skills and Experience
Please use this space to tell us about any skills or experience you may have that may support the role you are applying for. 
Equal Employment Opportunities
Please use this space to tell us your ethnicity and nationality.
This information is only requested  for on a voluntary basis and is simply for data collection and analysis. 
Reference
Please provide the name and contact information for one referee. 
This could be an employers reference on character reference  - providing this person is completely unrelated to yourself.
Have You Ever Been Convicted Of A Crime
Please note, due to the nature of the work we do with vulnerable people, we are obliged to ask this question. 
 *
Please Explain The Nature Of The Offence
Please also provide any information that includes;

When
Where
What the charges were (if any)
 *
Date Of Application
MM
/
DD
/
YYYY
Signed
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