Application Form Thank you for your interest in volunteering with West Brom Basketball Club

FOR OFFICE USE Volunteer Ref # _________ Date ________

Volunteer Application Form

Thank you for your interest in volunteering with West Brom Basketball Club
Volunteers play a vital role in the basketball community and we value your interesting in supporting West Brom Basketball Club. The information you provide will be stored in confidence under the provisions of the Data Protection Act. Your completed form will be held securely and confidentially. Only authorized personnel and staff will have access to this information.

Personal Details

Name:__________________________________________ Mr.  Mrs.  Miss.  Ms. 
Postal Address: ____________________________________________________________________
County: __________________________
Telephone: (Home) _________________________ (Mobile) __________________________
E-Mail: __________________________________________
Birth-date: _______________________________________

Day / Month / Year

If you are involved with us as a volunteer and an emergency arises, whom should we contact?
Name: _______________________________________ Relationship: _________________________
Telephone: (Home) _________________________ (Mobile) ________________________

Equal Opportunities

West Brom Basketball is committed to equal opportunities and all volunteer decisions will be based on merit, suitability for the role and experience. All volunteer decisions will not be influenced by race, colour, nationality, religion, sex, marital status, family status, sexual orientation, disability, age or membership. West Brom Basketball fully endorses a working environment free from discrimination and harassment.
Have you ever been convicted of an offence in the United Kingdom or elsewhere?

Yes  No 

If you ticked yes, please provide details below

Your Skills and Interests

1. Have you ever done any voluntary work before? Yes  No 

If you answered yes, please tell us a little about the experience.

2. Why do you want to volunteer now? What has motivated you to get in touch with us?

3. Do you have any particular skills or qualities that you could use in your voluntary work?

3a. Would you be interested in gaining any additional coach qualifications during your voluntary work?

4. Are you applying for a specifically advertised position? Yes  No 
If yes, please write the following; Role name ________________________________

Reference #________________________________

5. What kind of voluntary work interests you?

(See ‘Categories of Volunteering in West Brom Basketball’ for more information)

 Coaching

 Digital Marketing

 Team Manager

 Player Support

 Internship

 Other

6. When are you available for voluntary work?  Totally Flexible

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Morning
Afternoon
Evening

7. How long do you intend to volunteer for? _______________________________________________

(note that some opportunities demand a minimum time commitment)

8. How did you find out about volunteering with West Brom Basketball?
 Information / Outreach meeting

 West Brom Basketball Website

 Leaflet / Poster

 Word of Mouth

 Internet www._______________________

 Other ____________________

 A Volunteer Centre

 Media Radio / Television / Newspaper

References
1.

Name: ______________________________________ Relationship: _________________________

Place of Work: ________________________________ Position: _________________________

(If applicable)

Telephone: (Home) ____________________________ (Mobile) ___________________________
E-Mail: ______________________________________

Please email your completed application form to Coach Sheridan at [e-mail] or call on [phone] . If you would like to find out more about West Brom Basketball, log onto our website www.westbrombasketball.co.uk
Is there any additional information you would like to bring to our attention?


I declare that the information I have provided is true. All my actions as a volunteer will reflect the ethos of West Brom Basketball.
Signed __________________________________________ Date __________________________

For office use only Notes Volunteer Position ______________________________ Volunteer Interview _____________________________ Volunteer Role Description sent ___________________ References Collected ___________________________ Volunteer Start Date ____________________________

THANK YOU FOR YOUR APPLICATION