Volunteer form

If you'd like to volunteer at The Therapy Garden, please complete this form. All information provided is confidential and will only be shared with the Centre Manager, staff who need to know and the Chair of Trustees, if applicable.

Personal details

Title

Forename *

Surname *

Date of birth

Email *

Phone Number

Mobile number *

Street Address *

Address Line2

City

County

Post Code *

Country

How did you hear about the Therapy Gardens?

Previous experience

Please use this section to tell us a bit about yourself, why you want to volunteer and anything relevant that you have done previously.

Have you volunteered before? *

Yes No

If the answer is ‘YES’ please tell us where this was, when you started and how long you were there for, what you did and why you left.

If applicable, please give a summary of relevant skills acquired during your working life, or any special or relevant interests that you have:

What skills can you offer us and how would you like to help e.g supporting students or adult clients, general gardening work, driving, weekend watering or anything else?

Which day/days are you able to volunteer? (To select more than one option please press Ctrl while you select the days)

Can this be on a regular basis every week?

Yes No

Medical information

Please give a summary of any issues relating to your health of which you feel we need to be aware:

Please give details of any allergies that you have, e.g. nuts, food, specific plants, materials, plasters etc

Do you have any special dietary requirements?

Yes No

If the answer is YES, please give details below

Other details

Have you ever been cautioned or convicted of a criminal offence or are there currently any criminal charges pending? *

Yes No

If the answer is YES, please give details and dates

Is there anything else that we should be aware of? *

Yes No

If the answer is YES, please give details

Emergency Contact Details

In an emergency who should be contacted?

Name

Relationship to you

Address

Address line 2

Postcode

Phone number

Mobile number

Volunteer permission and disclaimers

Data Protection Act

I agree to information about me being kept on the confidential database at The Therapy Garden and shared with those staff/trustees who need to know. *

I agree

Photographic permission

I agree to photographs being taken in respect of my volunteering activities, and that these photographs may be used for any publicity material for The Therapy Garden. *

Yes No

Health and Safety disclaimer

While volunteering at The Therapy Garden I should:

have an up-to-date tetanus inoculation
wear strong work boots (steel toe cap boots advised
wear gardening gloves while working in the garden

If I do not do so I understand that, in the event of an accident, neither the Trustees nor employees of the Charity can be held liable *

I agree

By clicking submit, I certify that the information above is correct to the best of my knowledge.

Volunteers

Personal details

Previous experience

Medical information

Other details

Emergency Contact Details

Volunteer permission and disclaimers