Name

Male/Female

Address

PostCode

Home Tel

Mobile

Business

Email

Occupation

1. Why do you want to become a volunteer?

2. Do you have any previous volunteer experience? Yes/No (if yes please give details)

3. What is your past work experience?

4. What other commitments do you have that may affect the time you can give to Bann Valley Pre-History Museum?

5. Which areas are you interested in?

6. Do you have any formal qualifications in any of the above? Yes/No (if yes please give details)

7. Do you have an interest or skill in any of the following? Carpentry/painting/setting up displays

Display and visual arts

Administration

Cataloging

Conservation

Teaching

8. How much time are you able to give Bann Valley Pre-History Museum?

Weekly

Monthly

One off

9. What times are you available? Please add day and time below.

Sunday am pm

Monday am pm

Tuesday am pm

Wednesday am pm

Thursday am pm

Friday am pm

Saturday am pm

10. Are you able to attend on a regular or on an “as required” basis?

11. Referees (Please provide details of two people we can contact e.g. work supervisors, teachers, tutors) and an emergency contact.

Referee 1

Referee 2

Emergency contact

Name

Address

Contact Number

12. Do you have any medical condition/s that would affect your volunteer work? Yes/No

(if yes please give details).

Signed

Dated

Comments/Suggestions: