Night Shelter Regular or Weekly Volunteering Form


First name: _________________________ Surname: ___________________________________     Gender:       ___________________   

 D.O.B:   ____________   Email:                                                                                         Phone no:  _________________________

Address:______________________________________________________________________________________________________________

Which day(s) of the week are you available?: ______________________________________________________________________

When available?          Evening     Night      Morning           

Referees Name: ____________________________________________________________________________________________________

Address: ____________________________________________________________________________________________________________

Phone: ________________________________________ Email: ______________________________________________________________


Have you a valid DBS check?                                         YES  / NO      (Please cross out that which does not apply)

Do you have a valid First Aid qualification?            YES  / NO       (please cross out that which does not apply)

Food Hygiene Certificate?                                               YES  / NO       (please cross out that which does not apply)

Any Relevant experience?    

__________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

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I agree to follow the Night Shelter guidelines and policies and will work as requested by the leaders.




Please write your email carefully as this will be the main contact method!

If you have no printer contact us for a copy of this form by post.


Sept2018