Volunteer Application Form

Cruse Bereavement Care

VOLUNTEER APPLICATION FORM

IF YOU REQUIRE THIS APPLICATION FORM IN LARGE PRINT, OR ON AUDIO TAPE PLEASE

CONTACT CRUSE CENTRAL OFFICE ON: 020 8939 9533

Surname

Other Names

Address

Postcode

Email Address

Telephone Nos:

Home

Work

Mobile

Fax No:

Do you have any

specific needs e.g.

accessibility

Why are you

Please tick all that apply

interested in

volunteering?

I want to help others

I have spare time and want to use it productively

I am interested in voluntary work

I have personal experience of bereavement

I have personal experience of being supported by Cruse

I have referred people to Cruse for support

I have skills I can bring to the organisation

Any other reasons ……………………………………………………

Website form,

January 2008

(Appendix 1 Recruitment & Selection of Bereavement Volunteers)

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