Volunteer Application Form (Page 3 of 3) in pdf

Volunteer Application Form Page 3

Please give the names

Referee

and contact details of

Name:

two people who have

known you for some

Address:

time (not relatives) and

are willing to act as

referees. If possible, one

should be from a place

Postcode:

of work/organisation

Email Address:

where you have

volunteered. At least one

Tel Numbers:

should have had contact

Home:

in the last two years.

Work:

Mobile:

How long has this person known you and in what capacity?

Referee

Name:

Address:

Postcode:

Email Address:

Tel Numbers:

Home:

Work:

Mobile:

How long has this person known you and in what capacity?

Signed:

_____________________________________________________________

Date:

Please return this form to: Volunteering, Cruse Bereavement Care, PO Box 800, Richmond, TW9 1RG

The details provided on this form will not be disclosed to any third party unless required to do so by law.

Website form,

January 2008

(Appendix 1 Recruitment & Selection of Bereavement Volunteers)

Page 3 of 3

Volunteer Application Form Page 3