Would you like us to contact you by phone?

Yes No

If yes, what is your contact number:
When would be the best time to call?:

Please outline briefly how you know about WAVE and why you would like to volunteer with us?

What skills interests or qualities would you bring to our organisation?

Are there any other issues that we should know about i.e. health issues, time restrictions etc?

Do you know anyone who is a member of the group who is a relative or friend

Please supply the names and addresses of two people we can contact for a reference.

Yes No

Many thanks for completing the form. We will be in touch shortly to arrange a meeting in order to have an informal discussion with you.

All enquiries are dealt with in strictest confidence.