Volunteer Registration FormThank you for expressing an interest in volunteering for Noah’s Ark Children’s Hospital Charity. We would be grateful if you could complete this registration form.Use this section to tell us who you are and how can contact you.

Date

Name

DOB

Address

Email

Telephone Mobile

Do you hold a Full UK Driving License? Yes No Do you have your own transport? Yes No Are you a Welsh Speaker? Yes No

Use this section to tell us what you’re interested in.What is your availability?

Noah’s Ark Children’s Hospital CharityRegistered Charity Number: 1069485

Weekdays Weekends

Daytime Evening

Monthly Occasional

What areas of volunteering are you interested in?

Research / Administration Marketing / PromotionEvent Organisation / SupportSales – at our shop / Christmas cards / event tickets

Bucket Collections – various locationsCollection Tin CoordinatorDriver Other (please specify)

Noah’s Ark Children’s Hospital CharityRegistered Charity Number: 1069485

What skills or knowledge are you able to offer us? e.g. IT, marketing, admin

Tell us about any present / previous volunteering or employment experience

Please give details of any unspent criminal convictions:

Who can we contact for a reference?

Referee 1 Name:Address:

Postcode:Telephone:Email:How do you know this person:

Referee 2 Name:Address:

Postcode:Telephone:Email: How do you know this person:

We will never share your personal information with any other organisation or third party. We would like to keep you up to date with our fundraising activities from time to time, if you would prefer not to receive this information please tick

I declare the information provided is true

Signed ______________________________ Date _____________________

Please return this form to:Noah’s Ark Children’s Hospital Charity, Upper Ground Floor, Noah’s Ark Children’s Hospital for Wales, Heath Park, Cardiff, CF14 4XW, or email linda@noahsarkcharity.org