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Providing quality community based support services
throughout the localities of Lanarkshire since 1983.

Volunteer Application
First Name (*)

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Last Name (*)

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Street

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Town/City

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Postcode

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Telephone

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Email Address

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I would like to volunteer to work in (*)

Where would you like to Volunteer

Statement in support of application.


Please use the space below to tell us why you would like to become a volunteer. (*)

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Rehabilitation of Offenders Act 1974:



Do you have any unspent convictions? (*)

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If yes then please specify

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If you have worked in the past five years, at least one reference should be obtained from your last employer. If not, give the names of people who know you well.

Referee One


Name (*)

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Address

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Telephone number

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In what capacity do you know referee one?

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Referee Two


Name (*)

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Address

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Telephone number

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In what capacity do you know referee two?

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Enter what you see below

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Send us your completed application


Support Our Work

Make a donation using Virgin Money Giving

Head Office: 10 - 14 King Street, Wishaw, ML2 8BS.
Tel 01698 351615
Email: source@lamh.org.uk
A Company Limited by Guarantee in Scotland SC121139 | Scottish Charity NoSC010404