Volunteering Application Form

Windyway Kennels Vounteering Application Form

Title *
Initial *
First Name *
Surname *
Date of Birth *
Address *
Town *
County *
Postcode *
Contact Number1 *
Contact Number2
Email Address *
Emergency Contact * Please add the name of a person we should contact in case of an emergency
Emergency Contact Number * Please add the contact number of your emergency contact
Emergency Contact email Please add the email address for your emergency contact
Emergency Contact Relationship Please advise the relationship of your emergency contact e.g. Wife, Mother, Friend
Please use this space to let us know your reason for wanting to volunteer, what skills you can bring to the kennels or any other information you feel is relevant and would support your application *
Name and contact details of someone who can provide you with a reference
Do you have a disability or health condition which we need to be aware of in order to keep you safe *
Please give details of your disability/health condition
Date of last Tetanus injection
Please identify which day/s and hours you are available for regular weekly volunteering *
Alternatively if you are looking for work experience or DoE, please supply dates of placement required
Please sign *
Please add the name of the person signing where the applicant is under 18

Windyway Kennels and Animal Sanctuary Buxton Old Road Macclesfield Cheshire SK11 0AP 01625 422246