Volunteer Application Form

First name

Last name

Phone

Address

Birthday

Day

Month

Year

Do you have any conditions that may affect your volunteering? e.g. allergies, autism, diabetes.

If Yes, please tell us about your condition, including how we can help:

Do you have any phobias? (e.g. birds or worms)

If Yes, please tell us what phobias you may have:

Please tell us your availability

Why do you want to volunteer with Hilary Harry and Friends? Do you have any experience of working with animals? What skills do you have that would benefit our patients etc?*

Do you have any unspent criminal convictions?

If yes, please provide details below.

I agree that all of the information above is correct

Signature

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