Please fill in all the information on the application form before sending it.
Daytime Telephone Number
Evening Telephone Number
Date of Birth
Do you possess a Full, Clean and Current Driving License?
Are you a car owner?
Are you currently?
What personal qualities, skills and experience could you bring?
Please provide the Names of two referees who are well known to you but exclude family relatives, who we may contact about your suitability to volunteer at Age Connects Torfaen.
All applicants may be subject to a disclosure check by the Criminal Records Bureau.
Please indicate the areas of volunteering that are of interest to you?
Reception/HospitalityKitchen WorkInformation/AwarenessBenefit AdviceDay Activities Support (ie. Music, Art, Quizes)Caretaker SupportAdministration/IT/Computer Data/Office SkillsPromotion/Fundraising/Open DaysShopping/Window DisplayBefriending
WeeklyMonthlyOccasionallyFlexibleTimes to suitVolunteer Bank
How did yo hear of the volunteering opportunity?
To assist with your enquiry, we require consent to store information about you, the law states that we must receive your consent to do this. All details will be treated confidentially. Please read the sentence below, if you consent tick the box. I give my consent to Age Connects Torfaen to record personal information about myself and use images and videos of myself for fundraising and publicity purposes.
The Widdershins Centre
East Avenue, Sebastopol
Pontypool, Gwent, NP4 5AB
Tel: 01495 769264
Registered Charity No: 1172466
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