Volunteer Registration - Part 1 of 3

Please note that this information will be used to keep in touch with you regularly and promote your work as a Volunteer.

To help you complete the Volunteer Registration Form and help us to provide you with the suitable support and induction please try to provide as many details as possible when completing the sections. If you need help filling in this form then contact the Team on 01772 893662

Fields marked * are required

Personal Details

Male Female

Contact Details

Please provide your UCLan email address.

If you would prefer to be contacted on an alternative email please enter details:


Permanent Address

Temporary Address (if different from above)

.

UCLan Course Details

(E.g. 20013456. You can find this number on the back of your ID card)

What year do you graduate?*

Are you an International Student?* Yes No

What main campus do you study at?*

Please select ONE of the following options:

Please select your placement module from the list:

Or, if your module is not listed above, please enter:

Please select your elective module from the list:

Educational Qualifications

Please tick if you have any of the following Educational Qualifications:

GCSE

ALevel

Degree

Post-Graduate

NVQ or equivalent

NVQ 1

NVQ 2

NVQ 3

NVQ 4

NVQ 5

None

Other (Please Specify)

Previous experience

Have you been a volunteer before?*

Yes No

If yes, please give details of your previous volunteering experience (including community events and activities)

.

Username and Password

(password must be at least 6 characters long and contain at least one number)

Data Protection and Disclosure of information:

I agree to the information on this form being disclosed to host organisations for management and health and safety purposes