St John Ambulance Ghana

VOLUNTEER APPLICATION FORM

Application Form for prospective volunteers.

All information given is confidential.

I want to be a *

PERSONAL INFORMATION

Salutation: *

Last Name: *

First Name: *

Other Names:

Address: *

Date of Birth: *

Sex: *

Area of Residence: *

Mobile Telephone Numbers: *

Email: *

Please choose the appropriate: *

Name and Place of School/Work (if you chose Student or Employed above):

OTHER SUPPORTING INFORMATION

Have you previously been a volunteer with St. John Ambulance or any other charity or youth organisation, e.g. Scouts, Girls Guide, etc? *

If yes, please state what unit, and previous role/s.

Why do you want to become a volunteer with St. John Ambulance?

Is there anything you enjoy doing in your spare time, or any skills you can share with others?

What aspects of St John Ambulance appeals to you most?

Have you any additional skills and/or qualifications that could be relevant to your role in St John Ambulance? (For example, youth work, mechanical skills, administrative, fundraising etc.)

Additional Interest?

HEALTH

As a volunteer, St. John Ambulance would like to know your medical conditions to ensure you can get the most out of the organisation and its programmes.

Do you consider yourself to have a physical or learning disability? *

Do you have any medical conditions or allergies we should know for your own safety? For example; asthma, nut allergies, diabetes, epilepsy. (Give details if possible)

If Yes, can you tell us if we can do anything to make our organization more suitable to your needs? For example visual aids

In case of an emergency or crisis, who should be the first contact?

Full Name: *

Phone Number: *

For further information about you, who do we contact?

Full Name: *

Mobile Phone Number: *

Relation: *

Fields marked * are mandatory