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Fill in your details and tell us why you want to be a volunteer.
Title:
Please select..
Mr
Mrs
Miss
Ms
Dr
Name:
Address:
Post Code:
(if applicable)
County:
Aberdeenshire
Anglesey/Sir Fon
Angus/Forfarshire
Antrim
Argyllshire
Armagh
Ayrshire
Banffshire
Bedfordshire
Berkshire
Berwickshire
Brecknockshire/Sir Frycheiniog
Buckinghamshire
Buteshire
Caernarfonshire/Sir Gaernarfon
Caithness
Cambridgeshire
Cardiganshire/Ceredigion
Carlow
Carmenthenshire/Sir Gaerfyrddin
Cavan
Channel Islands
Cheshire
Clackmannanshire
Clare
Cleveland
Cork
Cornwall
Cromartyshire
Cumbria
Denbighshire/Sir Ddinbych
Derbyshire
Devon
Donegal
Dorset
Down
Dublin
Dumfriesshire
Dunbartonshire/Dumbartonshire
Durham
East Lothian/Haddingtonshire
Essex
Farmanagh
Fife
Flintshire/Sir Fflint
Galway
Glamorgan/Morgannwg
Gloucestershire
Hampshire
Herefordshire
Hertfordshire
Huntingdonshire
Inverness-Shire
Kent
Kerry
Kildare
Kilkenny
Kincardineshire
Kinross-shire
Kirkudbrightshire
Lanarkshire
Lancashire
Leicestershire
Leitrim
Leix
Limerick
Lincolnshire
London
Londonderry
Longford
Louth
Mayo
Meath
Merioneth/Meirionnydd
Middlesex
Midlothian/Edinburghshire
Monaghan
Monmouthshire/Sir Fynwy
Montgomeryshire/Sir Drefaldwyn
Morayshire
Nairnshire
Norfolk
North Lincolnshire
Northamptonshire
Northumberland
Nottinghamshire
Offaly
Orkney
Oxfordshire
Peeblesshire
Pembrokeshire/Sir Benfro
Perthshire
Radnorshire/Sir Faesyfed
Renfrewshire
Roscommon
Ross-shire
Roxburghshire
Rutland
Selkirkshire
Shetland
Shropshire
Sligo
Somerset
Staffordshire
Stirlingshire
Suffolk
Surrey
Sussex
Sutherland
Tipperary
Tyrone
Warwickshire
Waterford
West Lothian/Linlithgowshire
Westmeath
Westmorland
Wexford
Wicklow
Wigtownshire
Wiltshire
Worcestershire
Yorkshire
Tel number (day):
Tel number (eve):
Mobile:
Email Address:
Describe any previous or current involvement you have with the RNLI
Describe any volunteering experience you have had
Describe any previous or current involvement you have with giving presentations
Why would you like to volunteer as an RNLI Education volunteer?
Approximately what time commitment are you able to make each month?
Please select..
4 hours
8 hours
15 hours
24 hours
35+ hours
What is your usual availability (Please choose as many as apply)
am
pm
Monday
Tuesday
Wednesday
Thursday
Friday
On what date are you available to start volunteering?
<<
16 May 2012
>>
How do you envisage travelling to give presentations?
Approximately how far from home are you prepared to travel to give presentations on a regular basis?
Please select..
Up to 5 miles
8 miles
15 miles
25 miles
We would like to hear from someone who can comment on your ability to engage with young people, for example an employer / youth worker / other professional. Please give two such referees:
Referee 1:
Name:
Position:
Address:
Tel (day):
Tel (eve):
Email address:
Referee 2:
Name:
Position:
Address:
Tel (day):
Tel (eve):
Email address:
When you have your first meeting with your Regional Education Manager you will be asked to sign off a paper copy of this form. You will also be asked to complete a Criminal Records Bureau check as part of the RNLI's Child Protection Policy.