Volunteer Registration | Save The Mothers Trust

Name*

First Last

Email*

Your Phone*

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Skills & Intrest*

Tell us in which areas you are interested in volunteering

What day(s) are you normally available to volunteer?*

Select All
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Select Time*

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Morning
Afternoon
Evenings

Work or Volunteer History

Please specify any Volunteer experience or any previous employment you have.

Equal Opportunities

SMT welcomes volunteers with all range of abilities and skills. We aim to create a positive environment that enables all volunteers to realise their full potential. Please give details of any disabilities or health problems (e.g. back pain etc)

Any criminal convictions?

Under the Rehabilitation of Offenders Act 1974, do you have any unspent criminal convictions? Yes No (Is yes, please give details)

Contact In Case of Emergency*

First Last

Phone*

Relationship to you ?*

Referee (s)

Referee (s) (This can be your employer, Teacher, Landlord or a professional person)

First Last

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

How do you know them?

Agreement*

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

I accept

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SMT Volunteer Form