Hospital Radio Application

Your contact details
Name*
First Last
Address*
Street Address City ZIP / Postal Code
Email*
Phone*
Date of Birth*
MM slash DD slash YYYY
Role*
Please tick the role/s you'd like to volunteer for
- On Air
- Social Media Officer
- Premises Manager
- Admin Support
- Fundraising
Do you have any unspent convictions?*
Please tick 'Yes' if you have any convictions that are not yet spent under the Rehabilitation of Offenders Act 1974. The term 'convictions' is used to refer to any sentence or disposal issued by a court. If all your convictions are spent, you can tick 'No'. If you're not sure if your convictions are unspent or spent, you can use a tool available at www.disclosurecalculator.org.uk
- Yes
- No
Any Relevant Experience or Qualifications?
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Your contact details