Youth Volunteering Application Form
First Name
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Title
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House Number or Name
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Address Line 2
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County
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Home Phone
Please do not put any spaces or brackets in your telephone number
Email Address
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Last Name
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Date of Birth
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Street Name
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Town/City
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Postcode
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Mobile Phone
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How would you like to be contacted in the future?
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Are you currently volunteering?
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If yes, where and when are you volunteering?
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Please indicate the times when you are available to volunteer.
Sat Sun Mon Tue Wed Thu Fri
AM
PM
Evening

What kind of activities would you like to be involved with? (Select as many as you like)

Tell us a bit about yourself, and why you are interested in volunteering

Contact Us

Harbour House
West Quay
The Docks
Gloucester
GL1 2LG

Tel: 01452 501008
Fax: 01452 501007
Email: admin@youngglos.org.uk
www.youngglos.org.uk

Charity No: 281797
Company Reg No: 1547097
Company Limited by Guarantee