Duke of Edinburgh Award – Volunteering (age 14 – 18) Please complete the application form and return it, together with a passport size photograph, to the Devon Air Ambulance Trust shop at which you wish to volunteer.
Application from DofE volunteer
DofE level:
Bronze
Silver
Gold
Name: ____________________________________________________________________ Address: __________________________________________________________________ ________________________________ Postcode _________________________________ Home telephone number: ____________________________________________________ Mobile: ___________________________________________________________________ Email address: _____________________________________________________________ Date of birth: ______________________________________________________________ Length of placement:
3m
6m
12m
18m
Start date: ______________________
Present or most recent education Name of school /college: _____________________________________________________ Address: __________________________________________________________________ __________________________________________________________________________ ________________________________ Postcode _________________________________
Reference from school/college Please give details of referee (teacher/tutor/lecturer) Name: ____________________________________________________________________ Address: __________________________________________________________________ __________________________________________________________________________ ________________________________ Postcode _________________________________ Telephone number: __________________________ Extension ______________________ Email address: _____________________________________________________________
Personal statement In this statement could you please provide the following information: • your interests • your reasons for wanting to volunteer at Devon Air Ambulance Trust • your thoughts about any future career.
_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ Signed (student): ______________________________ Date: ____________ Signed (parent/guardian): _______________________ Date: ____________