Volunteer application form
Please complete your details and our volunteer co-ordinator will be in contact with you soon.
Email address *
First name
Your answer
Your answer
ID Number
Your answer
Postal address
Your answer
How regularly do you wish to volunteer?
What times are you available?
Please select all that apply
Project team/s of interest
Role of interest
Special skills I can offer
Are you under 18 years?
Do you currently have a valid driver's license?
Do you have the use of a car?
What interests, skills and experience could you bring to our organisation / projects?
Your answer
Do you have any special requirements or health issues that you would like to tell us about or that may have an impact on any activity that you may do?
Your answer
What are you hoping to gain by working with Learning in Reach?
Your answer
If you were to acquire a particular skill / behaviour that would benefit you the most, what would it be?
Your answer
What is for you, the single biggest benefit of that skill / behaviour?
Your answer
Please give us two references (name, address, tel / cell, relationship and how long you've know them).
Both should know you well and for a minimum period of one year. No family members will be accepted. We will only contact them if you are accepted as a volunteer.
Your answer
Employment status
Data Protection Act
Your personal details will be treated as confidential and kept for no longer than necessary. If you are accepted as a volunteer the information you have provided on this volunteer registration and monitoring information form will become part of your volunteer records which will be used to plan and record your practical involvement as a volunteer.
Would you like to be contacted with information about fundraising events and volunteering activities other than the one you have applied for? If yes, please tick one of the boxes below if you are happy to be contacted by: *
Photo use permission *
The volunteer agrees that photographs taken by LEARNING IN REACH can be used for dissemination on the internet and social media platforms including Facebook, Twitter and third party blogs.The volunteer agrees that no payment will be made for photographs taken by LEARNING IN REACH even if they are printed in mass media including newspapers, magazines and online platforms.LEARNING IN REACH agrees to remove any identifying names or facility branding from pictures before publishing.LEARNING IN REACH agrees not to divulge any information regarding the child in any photograph. 
Indemnity *
I, the undersigned, hold harmless and indemnify Learning In Reach NPC, its trustees, members, servants and employees in and parties involved with and/or arranging events which I am attending of my own accord, against and including (without limiting the generality of the aforegoing) any loss of or damage to personal effects, financial loss, illness, injury, harm, trauma or death (howsoever caused) including any claim from my wife/husband, children or dependents, common law wife/husband or life partner for maintenance, pain and suffering as a result of injuries or otherwise may incur. In an event of emergency please contact:
In an event of an emergency, please contact:
Name of emergency contact
Your answer
Address of emergency contact
Your answer
E-mail of emergency contact
Your answer
Contact number of emergency contact
Your answer
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