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Name: *
Phone Number:*
Address:
E-mail:*
Are you over 18 years old? *
Title of Volunteer Role you are applying for*
Why are you interested in volunteering with the RSPCA?*
Have you volunteered in any capacity before?*
If you answered yes to the above, what have you done?
What experience have you got that relates to the role? (Please note that some roles do require prior experience*
Are you able to commit to one weekly shift (approx 4hrs) for a minimum of 3 months?*
Please specify your availability:
Do you have any limitations, medical conditions or are you taking any medication that would prevent you from doing certain tasks?*
If you answered yes above, please specify: (Please note, answering yes does not exclude you from volunteering)
Would you be willing to sign a health declaration and confidentiality form?
Are you able to manually lift a weight of approx 10kgs?*
Have you had a tetanus vaccination in the last 10yrs?*
Do you provide permission for us to conduct a reference check if we need to?*

please note that we will let you know beforehand if we need to contact your referee/s

Please list 2 referees with their Name, Position and Contact Details*
Upload Resume (optional):

Thank you for taking the time to complete our Volunteer Application Form