Crewe

Heritage Centre, Vernon Way, Crewe, Cheshire, CW1 2DB Registered Charity No. 10111961

Volunteer Application Form

Only persons of 18 years or over can apply to volunteer at Crewe Heritage Centre
Name: ________________________________________________ Address: _________________________________________________________________________________________________ Post Code: ___________________ Contact No: _________________________Email: ________________________________ Next of Kin Emergency Contact details Name:_________________________ Contact No: _______________________________ Do you have a specific Skill or Qualification that would be useful as a Volunteer at CHC? ________________________________________________________________________________________________________ Do you have any known medical conditions or disabilities that may affect your volunteering roles? ________________________________________________________________________________________________________ Do have any Criminal or driving Convictions that are either spent or pending?

Terms & Conditions 1. Persons applying for volunteering must declare any criminal convictions 2. Persons applying for volunteering must declare any medical conditions 3. All new volunteers will be on a 3 month probation, to which the FoCHC Committee reserve the right to dismiss any person who is found not to be suitable 4. All volunteers must adhere to the Rules & Regulations of the FoCHC Constitution including any changes that are made within, a copy is available upon request 5. Personal Protective clothing must be worn at all times when carrying out work that requires PPS to be worn. 6. Crewe Heritage Centre operates zero tolerance towards any form of Bullying & Harassment 7. Health & Safety is paramount that it is to be adhered to at all times 8. All volunteers must adhere to the Weekly Duty Roster Please tick the Box to show that you have read and fully understand the Terms & Conditions for volunteering at Crewe Heritage Centre I hereby agree to abide by the rules and regulations for volunteering at Crewe Heritage Centre, including any changes to regulations that may occur. Youre Signature_______________________________ Date: ___________________ Print Name___________________________________ Downloaded from FOCHC.co.uk/p/volunteering.html ]Page 1 of 2

For Office Use Only New Volunteer Probation Period Record

Volunteer Name: ___________________ Date Joined___________________ Month One Date______________ Probation Officer____________________________________ Roles Covered Attendance Record Conduct Record

Month Two Date_______________ Probation Officer_____________________________________ Roles Covered Attendance Record Conduct Record

Month Three Date________________ Probation Officer_______________________________________ Roles Covered Attendance Record No Conduct Record

Is this person suitable to continue as a volunteer? Yes Name of FoCHC Official ________________________ Signed ______________________ Date__________________

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