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Volunteer Application Form
PERSONAL DETAILS
Full Name
*
Correspondence Address
*
Date of Birth (DD/MM/YY)
*
Age
*
Mobile Number:
*
(This is the number we will use to attempt to contact you regarding your Application)
Email Address:
*
(This email address will be used as the primary method for all Rostering and scheduling
communication and should be checked regularly)
Next of Kin (FULL NAME)
Phone
Relationship to next of kin
(Should you became ill on duty etc).
Do you hold a current full, clean Irish full driving licence?
*
Yes
No
(If ‘yes’, please submit a copy with your application)
*A Driving Licence is not a requirement, it just helps identify who can or cannot drive our vehicles).
Category of Licence held
(C1/D1/E Etc.)
Number of years held
Availability
1.) Please indicate the frequency you feel you would be able to Volunteer;
(We understand this may change occasionally due to personal circumstances etc.):
*
Every week
Every Fortnight
Every Month
*PLEASE NOTE: The minimum commitment required is once a month.
2.) Please indicate the Patrol night(s) you are available for volunteering:
Patrol hours vary depending on the day of the week and time of year. It is important to note that volunteers are never asked to commit to more than ONE night a month – however they may do more if they wish. (Fri & Sat Patrols can be up to 03.30am).
PLEASE TICK THE DAY (OR DAYS) YOU WOULD BE AVAILABLE:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
All Patrols include a rest-break, with complimentary refreshments kindly sponsored by local Hotels.
**PLEASE NOTE: Volunteers will occasionally also be required to upskill and participate in
compulsory Training Courses on various other dates – separate and in addition to their Patrol
availability indicated by them above. This Training could occasionally include evenings or
weekends
If you are human, leave this field blank.
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14 Francis Street, Wexford. 053-9122787 or 1800 247247