MUSKORTEER Registration Form
Thank you for your interest in volunteering for KORT. The information you provide in this form will help us decide how you may be able to help us.
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Email *
Title *
Full Name *
Address (First line) *
City *
Postcode *
Contact Number (Preferably Mobile) *
Email Address *
Age *
Gender *
T-shirt Size (KORT provides all volunteers with an official KORT t-shirt)
Clear selection
Do you have DBS clearance *
I am a UK resident *
I have a full driving license *
My interests (Please tick the areas of volunteering you are interested in) *
Required
My Availability (At what times are you available for volunteering?) *
Required
My Skills (I can offer the following skills, knowledge and expertise e.g. I.T. skills, graphic or web design, marketing etc)
My reasons for getting involved (Please tell us what you hope to gain by volunteering with us) *
Required
My References (Taking references helps us to ensure that the volunteering role is right for you. Please provide details of two referees who are over 18 and not related to you. Include their full name and contact details) *
My Emergency Contacts (Please provide the details of two people who we can contact in the unlikely event of accident or illness while volunteering for KORT. Inlcude full name and contact details) *
Access Requirements/Health Conditions (If you have any particular access requirements, disabilities or health conditions (e.g. medication or allergies etc) that we should be aware of) *
Have you ever been convicted of a criminal offence? If Yes, please give details of all offences, sentences and dates on a separate sheet of paper, in a sealed envelope, marked confidential, for the attention of the Volunteer Coordinator. *
Data Protection - At KORT, we value your support and we promise to respect your privacy. The data we gather and hold is managed in accordance with the Data Protection Act (1998). We will not disclose, or share personal information supplied by you with any third party organisation without your consent. *
Required
By completing this form, you are agreeing to KORT to contact you with regards to volunteering. *
Required
Declaration - I understand and agree that data contained in this application form will be used for volunteer recruitment processes and will be held on a computer database.I confirm that the information I have given is correct and complete and that any false statements or omissions may result in my services to be terminated. *
Required
A copy of your responses will be emailed to the address you provided.
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