Volunteer Application Form

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With your support we can help more deaf and hard of hearing adults and children in West Norfolk. 

Volunteers are vital to the services that we run. Your skills, commitment and enthusiasm could make a real difference to deaf children and adults. 

Your Details
Full Name:
Date of Birth:
Address:
Post Code:
Telephone (landline):
Telephone (mobile):
Email Address:
Can You Drive:YesNo
Do You Own A Car:Yes No
Are You Hard Of Hearing:YesNo
Do You Wear A Hearing Aid:YesNo
Do You Have A Job At The Moment?:YesNo RetiredUnemployedOther
Previous Experience
Have You Volunteered Before? Please Tell Us About It?:
Which Volunteer Role Are You Interested In?:Hearing SupportCharity Book ShopCharity ShopAdministrationFundraisingEventsHandyman
Have You Any Experience Living With Deaf Or Hard Of Hearing People?:
Describe Why You Would Like To Be A Volunteer?:
Checks And References
Under Current Legislation We Have To Carry Out A Police Check On All Voluntary Workers. Do You Object This?:YesNo
Please Give The Names, Addresses and Telephone Numbers Of 2 People Who Know You And Will Give You A Reference.
Reference 1:
Reference 2:

Please enter code:

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Speech MarkI am proud to be part of an organisation that is really making a difference to people with a hearing loss.Speech Mark

Hearing Support Volunteer

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