Skip to content
UK Volunteering - Thanks so much for applying to volunteer with our organisation. Please use the survey to detail the skills/experience you have & time you have available. By filling this in, your details will be added to our database.
1.
Please enter details below
Name
Company
Address
Address 2
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
Country
Email Address
Phone Number
2.
In what year were you born? (enter 4-digit birth year; for example, 1976)
3.
If applicable, would your partner want to be involved in the work of the organisation?
Yes
No
If yes, please add name and skills/experience
4.
Do you currently work/volunteer with any charities?
Yes
No
If yes, please give details
5.
Have you ever worked/volunteered with any charities?
Yes
No
If yes, please give details
6.
What is your current occupation
7.
Do you have any qualifications/skills that could be useful to our organisation? e.g. Graphic Design, Human Resources, Administration, IT, Legal, Medical etc...
8.
How many hours per week could you volunteer?
1-2 hours
2-4 hours
4-8 hours
8-16 hours (part time)
16-30 hours (full time)
9.
Have you personally experienced baby loss?
10.
Have you utilised the organisations services/support/resources either directly from Mariposa International, or via Zoe Clark-Coates?
11.
Would you be willing to help at events/services in different regions?
Yes
No
If yes, please list where
12.
Have you ever done fundraising for a charity/cause before?
Yes
No
If yes, how much did you raise?
13.
Which of the following would you be willing to undertake for the organisation?
Fundraising
Arrange events locally in your area
Assist at events in your area
Assist at Saying Goodbye services in your area
Arrange events in other areas
Assist at events in other areas
Assist at Saying Goodbye services in other areas
Support us with legislative changes & campaigns
Assist with Marketing
Assist with Public Relations
Help with administration (home based)
Help with social media creation
Assist with bid writing and grant applications
Assist with Human Resources
Assist with Legal services
Assist with Financial services
Consult on Medical Information (must be a qualified medical professional)
Assist with IT & Web Design
Assist with Graphic Design
Artist - Assist with producing images and artwork for leaflets/brochures and quotes
Event Management
Sponsorship - Sourcing and securing
Other (please specify)
14.
Do you feel that you have the skill/experience and time to be a Regional Coordinator for the work of the organisation?
Yes
No
If yes, please explain
15.
We like our volunteers to work with us on a long-term basis, do you feel that this is possible for you?
Yes
No
Please explain
16.
Are you part of any other local community group or projects?
Yes
No
If yes, please explain
17.
Would you help us promote the Saying Goodbye services in your region or elsewhere?
Yes
No
If yes, please give details
18.
Would you or any family member/friend be willing to take on a sporting challenge (5K, 10K, Marathon, Trek, Swim, Cycle, Walk etc) for the organisation?
Yes
No
Please give details
19.
Do you speak any other languages, and could you help with translation services?
Yes
No
Please give details
20.
Do you have any media/journalistic contacts that could help the organisation with PR or promotion?
21.
Do you have experience/skills in Search Engine Optimization and Social Media optimization?
Yes
No
Please give details
