Volunteer registration form

Title (Mr, Mrs, Miss, Revd, etc):*

First name:*

Last name:*

Middle name:*

First name known by (if different from above):

Date of birth:*

Marital status:

Address:*

Town/city:*

Post code:*

Home phone:

Mobile phone:

Email:*

Are you a member of CMS?

Would you like information on becoming a CMS member?

Do you hold a UK driving license?

Means of transport:(ie public transport, private car etc)

Do you have any physical limitations or medical conditions we need to be aware of?

If yes to above please explain:

How do you know about CMS?

Where would you like to work?

Other:

Availability?

Part time (certain days):