Lady painting wall
Register an Opportunity Form

Tell us about your organisation - * Denotes required fields

*Name:
*Address:
*Telephone:
Fax:
*Email:
Website:


 *Postcode:
Where is the opportunity based?
Tick if the opportunity is based at the above address
Name:
 Address:
Telephone:
Fax:
Email:
Website:

Postcode:
Who do we contact?

*Title:
Telephone:
Name:
 Fax:
Email:


 Website:
Availability

Start Date:
Finish Date:
Tick if the opportunity is ongoing
Select
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
AM
PM
EVE

Description - Please give a brief description of the volunteers duties



Skills/Qualifications required - Please tell us of any requirements



Directions - Give directions to get to the opportunity



Areas of interest and types of activities - Select options that apply

Interests:

Activities:
Other:


 Select multiples by holding the Ctrl Key
Special Needs and Recruitment - Tick any that apply

Needs:
Recruitment:
Other:


 Select multiples by holding the Ctrl Key
Special Arrangements

Age Restrictions:
Expenses:
Gender Restrictions:


 Induction:
Driver:


 Insurance Cover :
Disabled Access:


 Support On Offer:
Equal Opportunity Policy:


 Training:
Do any of these factors need to be considered ?

Mobility:
Hearing:
Eyesight:


 Reading: