Volunteer application form

How did you hear about volunteering for Retina UK?

Is there a specific role you are applying for?(Required)

Yes

No - I'd like to discuss options

Which role(s) are you interested in?

Helpline Service Volunteer

Talk & Support Service Volunteer

Local Peer Support Group Service Volunteer

Fundraising Volunteer

Occasional Volunteer

Office Volunteer

Volunteering for Retina UK

Volunteers are at the heart of what we do so we are delighted that you are interested in volunteering with us! Please let us know a little bit about yourself by answering the questions below and we'll be in touch to discuss available opportunities soon!

Why do you want to volunteer for Retina UK?

Do you have any ideas about what you'd like to do as a volunteer?

What skills or experiences could you bring to the team?

Is there any other additional information about you or your experiences that might be useful?

For example: do you speak any other languages; do you have a guide dog or use a cane; have you experienced Charles Bonnet Syndrome?

Your details

Name(Required)

Title (Mr, Dr, Ms etc.) First Last

Email(Required)

Best number to contact you on

Address

Street Address Address Line 2 Town / City County Postcode

References

Please provide details of two referees below.

Referee one name(Required)

Prefix First Last

Referee one email(Required)

Referee one contact phone number(Required)

How do you know this first referee?(Required)

Referee two name(Required)

Prefix First Last

Referee two email(Required)

Referee two contact phone number(Required)

How do you know this second referee?(Required)

Are you happy for Retina UK to contact you about the work we do and for volunteering purposes?(Required)

Yes

We will email you a copy of this form when you submit it.