ITCH | Volunteer Application Form

Online Volunteer Application Form

Please enter as much of your details in the form as you can. If you have any problems please do not hesitate to contact us.

First Name:
Last Name:
Sex:	Male Female
Address:
Address 2:
Address 3:
Postal Code:
Tel:
Fax:
Mobile:
E-Mail:
Computing Experience: Your computing and any relevant experience that might be an advantage?
Other Experience: Any further experience that might be an advantage?
Driving Licence:	Yes No
Car Owner:	Yes No
Will Travel: (Round trip expenses reimbursed) Note: Currently the mileage rate is 30p per mile. The rate is revised by the management group.
Travel regularly:	Yes No
If Yes, where:

Please provide names and addresses of two character referees (not related to yourself)
Reference One
Name:
Address:
Postcode:
Telephone:
Reference Two
Name:
Address:
Postcode:
Telephone:
Any Convictions (please include any motoring):
Because of the nature of the type of work, involving contact with vulnerable people, you are required by the Rehabilitation of Offenders Act 1974, to declare all convictions, including spent convictions. If this applies to you, please give details here (having a conviction will not necessarily prevent you becoming a volunteer).
Convictions:
Please indicate where you heard about us:

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