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Summer Reading Challenge Champion Volunteer Application Form
Name
Contact Details
Address
Postcode
Daytime telephone
Evening telephone
Mobile
Personal profile
Date of birth
Gender
Employment status
Ethnic background
Disability status
Some activities will require additional screening, such as a Criminal Records disclosure, for working with children or vulnerable adults. We will tell you if this is required. The disclosure will reveal spent and unspent convictions. It is important that you tell us here about any convictions or cautions you have. They do not prevent volunteering but may restrict the range of activities available to you.
Please turn over
Do you have a disability? Yes No
Please provide details of your health or disability that may affect your volunteering
Skills /Qualifications / Experience
Signature
Date
Please hand this form into any Bexley Library or send to:Frances Mason Bexley Library Service Maidstone Road SidcupKent DA14 5HS
Or e-mail to frances.mason@bexley.gov.uk
If you want to talk to someone about this opportunity please telephone 020 3045 4538 or email frances.mason@bexley.gov.uk
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