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Volunteer Application Form


* = Required Information

Are you over 18 years of age? *
Name *
Contact Number
Address Line 1
Address Town/City
Postcode / Eircode
What role are you applying for? (Refer to advertised roles)
Proposed Available Days*
(Multiselect, hold "CTRl" key and left mouse click to select more than one option)
Proposed Available Times*
How did you hear about Crosscare?
What are your main reasons for wanting to volunteer?*
(Multiselect, hold "CTRl" key and left mouse click to select more than one option)
Details of volunteering or life experience (optional)
Details of education or work experience to date (optional)
Outline of your Hobbies & Interests
Do you feel you have any health / disability support needs that may be relevant to your participation in volunteering? Please note: This will not be disclosed without your consent
Please provide the contact details of two referees who are in a position to assess your ability and suitability for volunteering with Crosscare. They must be someone who knows you for longer than 1 year and must not be family members (unless otherwise requested)
Circumstance and Period of time that they have known you *
Name of referee*
Contact Number*
Email Address
*Please check box that person has consented to be contacted in case of emergency and for their details to be kept on file
Relationship to you*
Contact Number*
Data Protection: Personal Information provided on this application form will be used for recruitment purposes and in the case of candidates selected for a volunteering role for communication purposes. Personal data on candidates not selected to volunteer will be destroyed within one year or at your request. Your personal data will be stored safely and will not be disclosed to any person/s for any other purposes without firstly asking for your consent. More information can be found in the Crosscare Data protection policy and procedure requested through
*I give my consent to Crosscare to record, maintain and process my personal data for the purposes of volunteering: