Radio Heatherwood On-Line
Volunteers Application Form

  Title Mr Miss Mrs Ms

Town Aldershot Arborfield Ascot Bagshot Blackwater Bracknell Camberley Chertsey Crowthorne Earley Egham Farnborough Finchampstead Frimley Maidenhead North Ascot Reading Sandhurst Slough South Ascot Staines Sunningdale Sunninghill Twyford Virginia Water Warfield Windsor Winkfield Wokingham Yately Other **See Note

D.O.B:- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December Month 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 Year

1:1 Do You Have Access To The Internet At Home ? Yes No

Status Married Single Divorced

1:2 Do You Have Your Own Transport ? Please Specify:-  No Transport Car Motorbike Bike Enter Registration :-

Please Re-Enter Your Email :-

1:3 List All Your Musical Tastes In Order Of Preference:-

1:4 List All Your Hobbies In Order Of Preference:-

1:5 Do You Have Any Computer Skills ?:-

1:6 How Did You Hear About The Hospital Radio Service ? :-

1:7 Do You Want A Career In Radio ? :-

1:8 Have You Done Any Broadcasting Before ? :-If Yes Give Details:-

1:9 What Do You Hope To Gain From Becoming A Hospital Radio Presenter ? :-

1:10 Have You Done Any Charity Or Community Work Before ? :-If Yes Give Details:-

1:11 How Would You Describe Yourself ? :-

1:12 Is There Anything You Wish To Add To Your Application, Which You Feel Would Be Relevant ? :-

Please Select The Town Nearest To Your:- Place_Of_Work Aldershot Arborfield Ascot Bagshot Blackwater Bracknell Camberley Chertsey Crowthorne Earley Egham Farnborough Finchampstead Frimley Maidenhead North Ascot Reading Sandhurst Slough South Ascot Staines Sunningdale Sunninghill Twyford Virginia Water Warfield Windsor Winkfield Wokingham Yately Other Unemployed **See Note

Shift Worker:- Yes No

Tick Days Available To Volunteer:- Weekdays Are 6.15pm Till 10pm

Mondays:-

Tuesdays:-

Wednesdays:-

Thursdays:-

Fridays:-

Saturdays:-

All presenters are normally asked to attend only one night a week in any week

Voluntary Work in the National Health Service is not exempt from the Rehabilitation of Offenders Act 1974. Applicants therefore must give information about convictions (which for other purposes are “spent” under the provision of the Act).

Have you ever been convicted of a Criminal Offence? Yes No

 If “Yes” please give details including dates.

 If “Yes” please give details including dates.

Failure to disclose information will result in immediate dismissal.

The management of the League of Friends Radio Service reserves the right to decline my application
for a position on Radio Heatherwood, without explanation.

Incorrect information at this stage, could prevent your application being processed.