Please select your first, second and third choice of voluntary work.

Some general information we need, in support of your application.

You are required to provide us with two references before you can be accepted as a volunteer. Coventry & Warwickshire Mind can only accept references from the details of the people you name below, so please ask their permission before supplying us with their details. The referees you provide must have known you for a minimum of two years, cannot be a relative and must come from two different sources.