First NameLast Name
Preferred Name Date of Birth (dd/mm/yyyy)
Nationality Sex
       
Email Address Mobile Phone Number
Term Time Address Home Address
   
   
   
   
Status University
Course Course End Date
Student Number Password (please choose)
       
To give us an idea about which projects would suit you best please tick any of the following statements that apply to you :
I am part of the Manchester Leadership Programme.
I have held a full clean UK driving license for at least the last 12 months (we can sometimes overlook minor offences, contact us)
I would be interested in driving the Student Action minibusses.
I have a First Aid Qualification.
I have received training for work with children.
I currently hold a valid CRB certificate.
I have a medical condition or disability that I believe Student Action should be aware of.
Please provide details of any medical conditions and disabilitys :
   
The position of Student Action volunteer involves work or contact with children and/or vunerable adults and is therefore exempt for the provisions of the Rehabilitation of Offenders Act 1974. A crimimal conviction(s) does not necessarily prevent you from volunteering as a student action co-ordinator or as student union management but you are required to disclose details of any spent or unspent criminal convictions.
I have no spent or unspent criminal convictions.
Please provide dates and details of all criminal convictions starting with the earliest first.
   
How did you find out about Student Action Manchester? Please specify :
       
To help us ensure that our Equal Opportunities Policy is working, please indicate your ethnic origin. If you would rather not disclose this information please state by choosing 'rather not say'.
Ethnic Origin Please specify :