Form

Address: *

How did you find out about volunteering for Roughshod? *

At a performance The Stage Poster/Flyer Facebook Twitter Other (please specify below)
Other:
Do you hold a current full driving licence?

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How and when did you first hear of the work of Riding Lights?
Details of any criminal convictions (except those 'spent' under the Rehabiliation of Offenders Act 1974):
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Attach a headshot photo
Education and Training
Education (including any Higher Education) *
Training (especially any particularly relevant to this work)
Employment History (if applicable)
Current Post
Previous Posts
Relevant Experience
Please give details of any other experience you have or unpaid activities you have undertaken relevant to this post
Personal Interests
Please give details of any other interests you have to complete our picture of you
Referees

Please give details of two referees, one personal and one professional (or educational), whom we may approach concerning your suitability for Roughshod.
Reference 1
Name: *

First Name Last Name
Position
Daytime Phone Number *

- Area Code Phone Number
E-mail
Years Known: *

Address *

Address *

May we approach this person now?

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Supporting Statement
Declaration

I certify that the information I have provided on this form is, to the best of my knowledge, complete and accurate.
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