During St John Ambulance Guernsey activities such as public duties, fundraising events, training or in-house meetings, photographsmay
be taken for the purposes of promoting the charity's work, including editorial, advertising and general information provision. I hereby
grant St John Ambulance Guernsey the right to hold such images of my person for such a purpose on its image database andpublish
them in any of its print and electronic media output for an indefinite period of timeunless otherwise stipulated. I understand that the
images will NOT be licensed for any use beyond the remit of St John AmbulanceGuernsey as stated above and will not be provided to
any unconnected third person. I understand St John Ambulance Guernsey holds the copyrights and all other rights for the images.
I give consent for such photographs to be taken and held as stated above.(Please circle) If you do not give your consent on this form you can ask for a specific model release form in the future.
We require two referees who can vouch for you. One of these has to be a personal reference from someone who has
known you for over five years and is not a relative. The other should preferably be from someone who has worked with you in a
professional setting, such as a teacher, your current manager or leader of another volunteer organisation. By completing this section you
give us permission to take up these references as part of the processing of your application form.
As part of being a volunteer with St JohnAmbulance Guernsey you are required to complete a health declaration todetermine
suitability for role. This is a separate confidential document between you and our medical team. The remainder of this sectionis
voluntary and you are under no obligation to disclose any medical information on this form. Any information yougive will be used to
ensure St John Ambulance Guernsey endeavours to meet any additional needs or requirements to the best of ourability.
Please note you will have to make an annual declaration of offences when you become avolunteer.
Signature of parent or guardian if applicant is 16-17 years of age