Application Form for prospective volunteers.
All information given is confidential.
I want to be: *
A Service Provider
A Benefactor Volunteer
Salutation * Mr. Mrs. Miss Dr. Prof. Rev.
Last Name *
First Name *
Other Names
Address: *
Date of Birth: *
Sex: * Male Female
Area of Residence: *
Mobile Telephone Numbers: *
Email: *
(Please tick the appropriate)
Student
Employed
Unemployed
Name and Place of School/Work (if ticked Student or Employed above):
Have you previously been a volunteer with St. John Ambulance or any other charity or youth organisation, e.g. Scouts, Girls Guide, etc?
Yes
No
If yes, please state what unit, and previous role/s.
Why do you want to become a volunteer with St. John Ambulance?
Is there anything you enjoy doing in your spare time, or any skills you can share with others?
What aspects of St John Ambulance appeals to you most?
Have you any additional skills and/or qualifications that could be relevant to your role in St John Ambulance? (For example, youth work, mechanical skills, administrative, fundraising etc.)
Additional Interest?
As a volunteer, St. John Ambulance would like to know your medical conditions to ensure you can get the most out of the organisation and its programmes.
Do you consider yourself to have a physical or learning disability?
Please tick appropriate
Do you have any medical conditions or allergies we should know for your own safety? For example; asthma, nut allergies, diabetes, epilepsy. (Give details if possible)
If Yes, can you tell us if we can do anything to make our organization more suitable to your needs? For example visual aids
In case of an emergency or crisis, who should be the first contact?
Full Name: *
Phone Number *
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