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NORTH TAUNTON PARTNERSHIP

CONFIDENTIAL Volunteer Application Form for the Youth Drop-in at
the Priorswood Community Centre



Name:



Address (including
Postcode):







If you have been at this
address for less than
three years, please give
previous address(es):





Home telephone no:

Mobile No:


Email address;


Date of birth:
National insurance
number;

Current occupation:
Any criminal convictions:




Any health conditions
you feel we should be
aware of;




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REFERENCES: Please give the name and address of two referees (not a relative) who may be
contacted by North Taunton Partnership, please give email address wherever possible.
Referee 1 Referee 2

Name:

Address:



Postcode:

Telephone Number:

Email address:


Please give details of any employed/voluntary work you have done which may be relevant
to this role.


Please give details of any interests or hobbies which may be relevant to this volunteering
opportunity.







Have you any skills or personal experiences which may be relevant to this role.








How did you hear about this role?


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I give permission for North Taunton Partnership to carry out a disclosure
check if offered a position with the charity.
A criminal record will not necessarily be a bar to obtaining a position with
North Taunton Partnership.

I know of no reason why I would be unsuitable to be a volunteer at the
Priorswood Community Centre.


Name: ________________________________

Signed: ______________________________ Dated
Why would you like to become a volunteer?









Is there any other information you would like to add?








Do you give your permission for all this information to be kept on file and on a computer in
the Priorswood Community Centre (This information remains confidential and will not be
passed on to any third party). Yes / No


Do you give permission for your photograph to be used in promotional material including;
newsletters, displays, websites and other media? Yes/No

If you have answered no it is your responsibility to inform the photographer that you do not
wish to be included and it is your responsibility not to pose for any photographs or films
which are taken for or on behalf of or within the Priorswood Community Centre.