Membership Application

Please complete the below form to apply to volunteer as a member at Radio Horton.
We recommend reading the ‘Volunteering with Radio Horton FAQ‘ page before completing this form as this contains further details about our volunteering opportunities, hospital radio and frequently asked questions.

*NB: All applicants will be subjected to a DBS (Disclosure & Barring Service) background check. For this we will arrange an appointment on approval of your application. 

There is also a one-time joining fee of £30.00 and annual membership fee of £10.00. In return for your joining fee you will receive a Radio Horton polo shirt.

About You:

*Name:

Address:

Postcode:

*Home Telephone No:

*Mobile Number:

*Email Address:

Occupation:

NI Number:

You and Radio Horton:

*How did you hear about Radio Horton and why do you wish to become a member?

*Please indicate any skills you have that you will be able to utilise as a member:

*Do you have any previous experience in radio (hospital or other)? If so, please provide details:

*Which area of voluntary work are you interested in (select all that apply):

PresenterWard VisitorTechnicalFundraiserOther

Please indicate below which days/times you are available to volunteer:

References & Emergency Contacts:

Please give the names, addresses, telephone numbers and email address of two referees. The referees must have known you for at least one year and should not be relatives.

Referee 1:

Referee 2:

*Name:

*Name:

*Address:

*Address:

*Postcode:

*Postcode:

*Telephone No:

*Telephone No:

*Email Address:

*Email Address:

*Relationship to applicant and duration known:

*Relationship to applicant and duration known:

Please give the name and contact number of two people who can be contacted in the event of an emergency:

Emergency Contact #1:

Emergency Contact #2:

*Name:

*Name:

*Telephone (Home):

*Telephone (Home):

Telephone (Mobile):

Telephone (Mobile):

Please note: All prospective members of Radio Horton must follow a probationary period. After which their progress will be reviewed before full membership is confirmed. Data Protection: Personal data supplied by you will only be used for the purposes of membership administration.

I hereby certify that the above details are correct and accurate. If accepted for membership, I agree to comply with the rules and regulations as determined by the Committee of Radio Horton

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