top of page

Volunteer Application Form

A bit about you

Do you drive and have access to a car?
Would you be interested in helping members get to their group by giving them lifts?
Do you have any support needs as a volunteer?

Volunteering Interests

Which group(s) would you like to apply for?
Would you be interested in volunteering at any of our monthly Dementia Cafés?
Which service would you like to volunteer with?

Your knowledge & experience

Would you be interested in joining our Fundraising Volunteers Committee, helping to plan events and presenting fundraising ideas?

References

Your must provide the details of two people who can provide a reference for you. Your referees cannot be people you are related to. They can be colleagues, friends, teachers, etc.

Referee #1

Referee #2

Equal Opportunities Monitoring 

This monitoring data can help us secure funding from grantmaking bodies to develop and grow our volunteering programme. Providing this information is voluntary and you can leave this section blank if you wish.  

Gender
Relationship Status
Is your gender the same as the gender you were assigned at birth?
Sexuality
Do you consider yourself to be a carer?
Do you consider yourself to be disabled?

Emergency Contact Details 

Consents

Consents Required
bottom of page