Application for the Future Flyers scheme

Title:
Mr.Ms.Mrs.Miss

First Name: *

Surname: *

Address: *

County: *

Postcode: *

Date of Birth: *

Contact Number: *

Email Address: *

Do you have access to a vehicle/transport? *

Do you have a valid driving licence? *

What type of volunteering are you interested in doing? (Please tick all that apply) *

Please tell us when you are available to volunteer: *

Please give us a brief description of why you would like to join Wales Air Ambulance as a volunteer: *

Please tell us about your skills and/or experiences that you feel would help you in a volunteering role: *

Are you a Welsh Speaker? *

Are you able to write in Welsh? *

Are you able to read in Welsh? *

Are you related to any volunteer, employee or Trustee of Wales Air Ambulance? *

If yes, please provide their name:

Do you have any criminal convictions? (This will not necessarily prevent you from volunteering with the charity) *

If you answered “Yes” please provide details:

Name: *

Job Title: *

Address: *

Referee’s email address: *

Referee’s telephone number: *

In what capacity does the referee know you? *

Name: *

Job Title: *

Address: *

Referee’s email address: *

Referee’s telephone number: *

In what capacity does the referee know you? *

I declare that the information provided in this application form is accurate and I am not aware of any circumstances which, if known or became known by Welsh Air Ambulance Charitable Trust might cause them to question my suitability for a volunteering role.

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