Adult Volunteer Application Form

Personal Details – Tell us about yourself

First Name Surname
Preferred Name
Address

Home Number Post Code

Mobile Number Email
Availability - Let us know when you are available to help
AM PM AM PM
Monday Friday
Tuesday Saturday
Wednesday Sunday
Thursday Fully Flexible

Skills and Interests – Tell us about your interests

Tell us about any volunteering experience or any previous employment you have working with young people:

Tell us about any volunteering experience or any previous employment you have working with horses:

Do you have any specialist skills, interest or hobbies that you would like to use when volunteering with Ebony Horse
Club? (E.g. experience in fundraising; events; admin etc.)

Equal Opportunities –
Ebony welcomes volunteer applicants with all range of abilities for the skills they bring. We aim to create
a positive environment that enables all volunteers to realise their full potential.
So we can consider any appropriate adjustments to the volunteer environment and better support you in your role,
please give details below of any disabilities or health issues.

Under the rehabilitation of Offenders Act 1974, do you have any unspent criminal convictions?
Yes No
If you have ticked yes, summarise details below. Having a conviction will not necessarily stop you from volunteering,
 Adult Volunteer Application Form
but will need to be taken into consideration when assessing your suitability.

Volunteer References - This can be your previous manager, a teacher at

school/college, from a place of work or an organisation where you have volunteered, but should
not be a significant other or family member
First Reference
Full Name
Address

Post Code
Contact Number
Email
Relationship to you
Emergency Contact
First Name Surname
Home Telephone Mobile
Relationship to you
All volunteers at Ebony Horse Club come into contact with children and young people, we
therefore require references and may request a DBS check
Declaration
I declare the information I have provided is correct and give permission for Ebony to contact my
references
Signature Print Name
Date: