Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What are you doing at the moment? *

Unemployed

Employed

Student

Other

Farm areas you would like to help at *

Tick as many as you find applicable to you.

Animal Care

Administration

Cafe and/or gift shop

Education

Environmental/Composting

Gardening

Fundraising

Maintenance

Management committee

Market and/or events

Play scheme

Other

Monday

Morning

Afternoon

Anytime

Tuesday

Morning

Afternoon

Anytime

Wednesday

Morning

Afternoon

Anytime

Thursday

Morning

Afternoon

Anytime

Friday

Morning

Afternoon

Anytime

Saturday

Morning

Afternoon

Anytime

Sunday

Morning

Afternoon

Anytime

Name *

First Name

Last Name

Name *

First Name

Last Name

Name *

First Name

Last Name

Have you ever been convicted of a criminal offence? *

Previous criminal convictions will not necessarily prevent you from volunteering with us.

Yes

No

Are you happy for Spitalfields City Farm to use your image to publicise the farm?

Yes

No

Gender *

Male

Female

Other

White

English

Irish

Scottish

Welsh

Other White

Asian or Asian British

Indian

Pakistani

Bangladeshi

Chinese

Vietnamese

Other Asian

Mixed

White & Black Caribbean

White & Black African

White & Asian

Other mixed

Black or Black British

Caribbean

Somali

Other Black

None

I prefer not to say

Do you consider you live with a disability? *

Yes

No

Date of Birth *

MM

DD

YYYY

Do you confirm that the information you provided is true, to the best of your knowledge? *

Yes

Date *

Please provide today's date.

MM

DD

YYYY