A Community Mental Health Resource

Volunteer Application Form

Full Name:

Address:

Post Code:

Tel No:

Mobile No:

e-mail:

Reason for Application/Relevant Experience:

Special Interests or Hobbies:

Opening Hours - Please indicate preferred time(s)

Day	Day time hours – 9.30 am to 3.30 pm	Evening Opening
Monday	AM	PM	7.00 pm – 9.00 pm
Tuesday	AM	PM	5.00 pm – 8.00 pm
Wednesday	AM	PM	5.00 pm – 7.00 pm
Thursday	AM	PM	7.00 pm – 9.00 pm
Friday	AM	PM
Saturday	AM	PM
Sunday	PM

Please supply two references

1. Name:	2. Name:
Address:	Address:
Tel:	Tel:

Signature:

Date:

Please return application form to:

Steve Wakefield

Assistant Manager

Waddington Street Centre

3 Waddington Street

Durham

DH1 4BG

Tel: 0191 386 0702

e-mail: swakefield@waddingtoncentre.co.uk

Please note that all volunteers

will be subject to DBS enhanced disclosure regulations.

Waddington Street Centre Limited is a Company registered in England limited by guarantee.

Company No. 2330506, Charity Registration No. 701514

Registered Office: 3 Waddington Street, Durham. DH1 4BG. Tel. 0191 3860702