Bridge | Volunteer Application

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PERSONAL DETAILS

First Name:

*

Surname:

*

Address:

*

 

Town/City:

*

Post Code:

*

Telephone:

*

Email:

Date of Birth:

*

Full and valid driving license?

Own transport?

Are you available for 2-4 hours per week?

Do you speak any language other than English?

Please state (language):

Please disclose substance use (history):

How long have you been dry/clean?

Do you have any disabilities/impairments that we need to be aware of?

Please specify:

Do you have any convictions?

Please specify:

Next of Kin:

Relationship:

Telephone:

Hobbies/Interests

Position applied for:

*

Have you ever volunteered before?

Please Specify:

 

Why do you want to volunteer for Bridge?

*

 

What relevant experience/skills can you bring to the role?

 

Qualifications: Please List:

 


 

WORK EXPERIENCE:

Dates
(From and To)

Organisation

Roles and Responsibilities

 


 

REFERENCES: (This should not be a family member.)

Name:

How do you know this person?

How long have you known this person?

Organisation:

Address:

 

Town/City:

Post Code:

Telephone:

Email:

 

 

 

 

Bridge Substance Misuse Programme Ltd is a Social Enterprise, company registered number 06221493. Registered office 63c Gold Street, Northampton, NN1 1RA.