Organisation Name*

Organisation Postcode

Areas of interest (please tick all that apply)*

Day TripResidential Visit

When would you like to visit*

How many adults will be visiting?*

How many children will be visiting?*

Areas of interest (please tick all that apply)*

Days OutOvernight Stays

When would you like to visit*

How many adults will be visiting?*

How many children will be visiting?*

Role(s) you are applying for*

Conservation AssistantEducation TraineeshipEvent Assistant

Date of Birth*

Address*

Postcode*

Background & Interests*
Please give brief details. This can include your skills and experience, hobbies, interests and previous volunteering roles

Do you have any First Aid training or qualifications?*
YesNo

Why do you want to volunteer with Celtic Harmony?*

Employment Status*
EmployedUnemployedRetiredStudent (Full-time)Student (Part-time)

AM Availability*
MonTueWedThuFriSatSun

PM Availability*
MonTueWedThuFriSatSun

Do you have the right to work in the UK?*
YesNo

Do you have any unspent criminal convictions or is there any action pending against you?*
YesNo

Do you have the a disability or specific need for which special arrangements are needed for the role or for the interview?*
YesNo

Please tell us about anything that you think might be relevant, i.e. fitness for heavy outdoor work. We may call you in confidence to discuss your requirements