The Chase Through Time
Contact Information for volunteers registering for the Chase Through Time project 2016-2018
Name *
Your answer
Email *
Your answer
Address *
Your answer
Phone number *
Your answer
* If you are travelling from a distance or only able to volunteer on an ad hoc basis, please provide details of your situation. You are very welcome to volunteer for special events and projects.
Are you able to travel to and from the Chase via you’re own transport ?
Are you willing to provide transport for other volunteers ?
Tell us in which areas you are interested in volunteering
Special Skills or Qualifications
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.
Your answer
Previous Volunteer Experience
Summarize your previous volunteer experience.
Your answer
How did you hear about our project?
Your answer
Please tell us about any health conditions you may have (and the medication/if any you take for these) so we are prepared in the event of the condition occurring whilst volunteering with us. E.g. Diabetes, asthma, epilepsy, allergic reactions:
Your answer
Person to Notify in Case of Emergency
Name of emergency contact:
Your answer
Address of emergency contact:
Your answer
Telephone of Emergency contact :
Your answer
Email address of emergency contact:
Your answer
Agreement and Signature By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. Please confirm your acceptance of the terms and conditions of volunteering with The Chase Through Time Project as laid out in the Important Notes for Volunteer’s which is available at : *
I DO NOT wish to have myself identified with the release of media relating to the work, projects, and activities carried out by The Chase Through Time project - please check box below
Our Policy : It is the policy of this organization to provide equal opportunities without regard to race, colour, religion, national origin, gender, sexual preference, age, or disability. The contents of this form is for office use only and will be kept confidential and will not be shared with anyone under the guidelines of the Data Protection Act.
Thank you for completing this registration form and for your interest in volunteering with us.
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