Register About You First name * Last name * Address Line 1 Address Line 2 Town County Postcode * Date of Birth * Gender * Prefer not to say Male Female Employment Status * Prefer not to say Employed Full-time Employed Part-time Homemaker Retired Self Employed Student Unable to work Unemployed Ethnicity * Prefer not to say White British Irish Other White African Caribbean Other Black Indian Bangladeshi Pakistani Chinese Other Asian White and Black Caribbean White and Black African White and Asian Other Mixed Do you have a disability? * Prefer not to say Yes No If, yes please select * Please select Prefer not to say Physical Disability Sensory Impairment Mental Health Issue Learning Disability Long Term Health Condition Other Contact Details Telephone * Email * Interests & Activities Interests * No specific interest Arts, Heritage and Entertainment Black and Minority Ethnic Communities Children Civic Responsibility and Communities Crime, Victims and Offenders Disability Emergency Response Employment, Education and Training Environment Families and Parenting Fitness and Sport Health and Social Care Homeless and Housing Lesbian Gay Bisexual and Transgender Mental Health Older People Religion Substance Misuses and Addiction Wildlife and Animals Womens Issues Young People Activities * Administration and Office Advice and Information Business Skills Computers, IT and Websites Cooking and Catering Creativity Driving First Aid Fundraising and Finance Gardening General Helping Legal Work Local Events Marketing and Media One-off Activity Practical Skills Retail Sports Volunteering Supporting Charities Supporting People and Befriending Teaching and Training Trusteeship and Committee Work When are you available to volunteer? Select all Morning Afternoon Evening Monday Tuesday Wednesday Thursday Friday Saturday Sunday Please provide any specific details regarding your availability e.g. Shift worker or available after 3pm Volunteering Experience Please give details of any experiences that may be relevant What made you think about volunteering? Gain Skills / Training Get Vocational Experience Increase Confidence Make New Friends / Meet People Community Involvement Give Something Back Improve Health New to the Area Keep Busy Other Your Account Enter a password * The information you have given on this form will be treated as confidential, and will be held in accordance with the Data Protection Act 1998 I do not wish to receive email correspondence. I give permission for Community Action Isle of Wight / The Isle of Wight Volunteer Centre to pass the information contained in this form to those organisations in which I have expressed interest in, to enable organisations to contact me directly.