Volunteering expression of interest

Full Name

I confirm I am over 18 years of age

Telephone number(s)

Do you consider yourself to be a member of a minority ethnic group?

If yes, how would you describe yourself?

Please provide information about why you would like to be a volunteer?

Please provide information about any skills that you have or that you feel would be pertinent/or could be used in the volunteer role?

Are there any particular days/times that you cannot volunteer or can you be flexible?

Are there any particular issues or personal circumstances that you wish to be considered?

(Your personal data will be confidential and retained solely for the purpose of the volunteer role).

If you need assistance in completing the form please contact 01270 211000 alternatively,

once completed please return electronically to: enquiries@chancechanginglives.org or post to 11-13 Coronation Crescent Crewe CW1 4EJ

Thanks for submitting!