Volunteer Application Form

Personal Information

Where did you hear about Sightline?*

Primary Contact No.*

Alternative Contact No.*

Your Email Address*

Occupation*

Languages spoken, including English*

Other eye condition*

Emergency Contact

Please provide the following details for Sightline to contact somebody in the case of an emergency.

Contact Number*

Relationship*

Communication Preferences

What is your preferred format (e.g. Large Print, Electronic, Braille, Audio, Other – please specify).*

Offences

Interests and Experiences

Please list your personal interests and any relevant experience.*

Reference

Visually Impaired people living alone are especially vulnerable and it is Sightline’s policy that volunteers should give the name and address of one person to whom they are well known (not a family member or someone you live with) and who can be contacted for a reference. Do please obtain their consent for our enquiry.

Referee

Phone*

Email*

Equal Opportunity Monitoring Form

We aim to be an equal opportunities organisation, and our policy is that everybody receives equal treatment regardless of sex, race, disability, sexual orientation, religion or belief, age, marital or civil partnership status, pregnancy/maternity or gender reassignment, where any of these cannot be shown to be a requirement for being a Service User and/or Volunteer. To assist us in monitoring the operation of our equal opportunity policy, and for no other reason, please answer the following questions.

Gender (Self described)

Gender Identity (Self described)

Gender: Is the gender you identify with the same as your gender registered at birth? (Self described)

Ethnicity (Self described)

Disability (Self described)

Sexual Orientation (Self described)

Religion and belief (Other)

Phone

This field is for validation purposes and should be left unchanged.