Please complete this on-line Education Volunteer Application Form.

Title:	Mr. Mrs. Ms. Dr. Prof. None
Surname:
Forename:
Address:
Daytime Telephone Number:
Mobile Telephone Number:
Email:
Emergency Contact
Surname:
Forename:
Address:
Daytime Telephone Number:
Please indicate which days would suit you best:	Monday Tuesday Wednesday Thursday Friday Irregular
Have you undergone a CRB check within the last 6 months?   If not, may we undertake, at our expense, an Enhanced Disclosure CRB check?	Yes No
	Yes No
Please give your current and past occupations, qualifications and interests (or send / email your c.v.):
Please write a paragraph about your application. For example: why are you applying to the Gardens? What do you think they could offer you? What could you offer? What would you expect to get out of the experience? How much time could you offer and how long would you see yourself staying?
Please give the names and addresses of two referees. Ideally one person should be connected with your past work, and the second can be a character reference.
First Referee Name:
Address:
Daytime Telephone Number:
Relationship to you:
Second Referee Name:
Address:
Daytime Telephone Number:
Relationship to you:
By submitting this application do you confirm that the facts contained in this application form are, to the best of your knowledge, true and complete?	Yes No
Date:
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Please note that any information which you provide about yourself will be treated as confidential.

Membership data is stored in accordance with the Data Protection Act 1998