First Name*

Surname*

Address*

Town*

County

Postcode*

Landline

Mobile

How would you prefer us to contact you?*

What is your age?

Volunteer role you are applying for*

Why do you want to become a volunteer with West Sussex Mind?*

Have you been a volunteer before in any capacity? Please give a brief description of the role and the organisation

What interests you most about the role you have applied for and how does your experience meet the requirements listed in the role profile?*

Where the role involves leadership and facilitating of groups, please can you give examples of your experience and tell us why you feel you would be a good leader.

Do you have a specific area of interest or location you want to work in?

Do you speak any languages other than English? If yes, please list below.

Please give an idea of when you would be available to volunteer.*

How did you hear about volunteering with West Sussex Mind?*

Before West Sussex Mind can place you as a volunteer, we must take up two references. Please give details of two people (not related to you), aged over 18, who have known you for at least a year. Please note, to save cost and time, our preferred communication method for volunteers is by email

Referee 1

Name*

Address*

Postcode*

Phone

Relationship to you*

Referee 2

Name*

Address*

Postcode*

Phone

Relationship to you*

Referral Project

I give my permission for West Sussex Mind to collect, store and process the personal data I have provided on this application form.*