Volunteer Application Form 2025

Full Name *

Email *

Daytime Phone Number *

Your preferred number, can be a mobile

Current place of work -Hospital, university, company etc. We do not need the address *

In what area of the profession do you work in, what is your specialism and current role? *

Please indicate if you have any of the specific areas of experience, skills and attributes as outlined in the role description and eligibility criteria document. *

Please state how your skills, enthusiasm, experience can help IPEM achieve the aims and objectives of this group? Why do you want to get involved? *

Optional - have you done any previous volunteering? (with IPEM or outside of IPEM) - This is not mandatory but you can comment on what experience, skills or knowledge you gained.

Consent for storing submitted data *

Yes, I give permission to store and process my data

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