Volunteer Registration Form | Rose Theatre Kingston

Title

First Name *

Surname *

Address *

Postcode *

Home Phome

Mobile *

Email *

Please note: Communication will be mostly by via email. Please ensure your email address is clear on this form

Name of emergency contact / Next of kin: *

Contact Number *

Relationship to you

Date of Birth *

Year

Day

Month

Age

Gender

Ethnic Origin

(for statistical monitoring purposes only)

Are you a member of the "Friends of the Rose" scheme? Please indicate:

If not, can we contact you about joining?

Do you have a medical condition or disability which we need to be aware of?

If Yes, please give details:

Do you have any unspent criminal convictions?

If Yes, please give details of them:

How did you hear about volunteering at the Rose Theatre, Kingston?

For office volunteering, are you confident in using of any of the following computer programmes?

Any other programmes or relevant skills? Please list:

Photo

Please upload a photo of yourself (Saved as: .jpg / .png - Max size= 800k)