REGISTRATION OF VOLUNTARY INTEREST FORM

Name/Contact:

Address:

Postcode:

Home Telephone:

Mobile Telephone:

Email:

Employment Status: Employed Unemployed Student

Are you Registered Disabled? Yes No

Gender: Male Female

Date of Birth:

Ethnic Group
Bangladeshi Vietnamese Other African Middle Eastern

Indian Other Asian Caribbean Irish

Pakistani East African Black British White British

Chinese Somali Other Black Other White

Mixed White & Asian Mixed White & Black

Mixed White & Black African Other Mixed Origin

In which role do you wish to volunteer? (Please tick)

Broadcaster / Presenter Community Correspondent
(Demo CD Required see below) (Collation of Local News & Features for Broadcast)
Station / Studio Assistant Admin Assistant
(Possible Trainee Broadcaster / Presenter)
Sales / Sales Support Fundraising

Roadshow Crew / Promotions & Publicity Other Role (Please Specify Below)

Other Role:

If you are registering an interest in becoming a volunteer Broadcaster / Presenter your

application will only receive further consideration if you include & supply us with a Demo
CD or similar. If you do not have any prior experience in Radio Broadcasting or Presenting
may we suggest you apply for the voluntary role of Station / Studio Assistant (possible
Trainee Broadcaster / Presenter).

All applications of registration of voluntary interest must also include a current up to date
CV and Photograph. Those applications that don’t will not receive further consideration.
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What experience do you have in the particular voluntary role you are
applying for?

Continue on separate sheet if necessary

Please tell us of any working or voluntary experience you may have had in
the field of radio? (BBC, Commercial, Internet, RSL, Community, Hospital or Student Radio)

Continue on separate sheet if necessary

As a volunteer what do you feel you could offer Radio Hartlepool other than
your time of course?

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Continue on separate sheet if necessary
Please describe your current situation and also something that is very
important in radio, your personality…

Continue on separate sheet if necessary

References

Please provide the names and addresses of two professional persons as

referees e.g. teacher, employer etc. (this must not include friends (mates), or family,
other prospective applicants or any member of Radio Hartlepool. All referees will be contacted)

1) 2)

If you complete this form Radio Hartlepool will store & process your data in keeping with the requirements of the Data
Protection Act 1998.
Check list: Please Tick
1) I have included my current and up to date CV
2) I have included a current and up to date Photograph
3) I have included two referees to be contacted
4) Broadcaster / Presenter applications must include a Demo CD or similar

Print Name:…………………………………………………………………………………………………..

Signed:…………………………………………………………………………………………………………..

Date:……………………………………………………………………………………………………………….
Please note that by signing this form you are confirming that its contents are honest & true with correct information & also that
you will allow its contents be used for statistical, evaluation & monitoring purposes by staff for funding organisations &
understand all information submitted will be kept on file for up to 5 years. (V3.1.)

Please note: Online applications will not be accepted.

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Post your completed form to:
Radio Hartlepool, Broadcasting House, 79 York Road, Hartlepool, TS26 8AH