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* 1. First name 

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* 2. Surname *

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* 3. Date of Birth. (you must be over 18)

Date / Time

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* 4. Address 

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* 5. Mobile 

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* 6. Email Address 

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* 7. Next of Kin/Emergency Contact Name & Phone Number 

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* 8. Please let us know if you have any particular mobility issues. We work in temporary environments that are potentially hazardous 

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* 9. Do you have the right to work in the Republic of Ireland? 

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* 10. Are you a Comhlámh member? *

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* 11. Details of your referee (ie name and contact number and email of a person connected to Comhlámh) *

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* 12. Please upload a headshot picture of yourself, this is for sharing with WBC 

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 13. Please tick the boxes of your volunteering availability for the various gigs

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