Please give the name, organisation and phone number of at least 2 people, other than family or friends, who may be contacted in connection with this application.
It is necessary for us to maintain a brief medical history of our volunteers, and it would be appreciated if you would fill in the following questions. Please be assured that information given will be treated with STRICT CONFIDENTIALITY.
By clicking submit, I certify that to the best of my knowledge, the above details are correct and complete. I also understand and agree to abide by the rules and direction of FY policies and staff. Further, I understand that it is my obligation and responsibility to Finding Yellow, it’s volunteers and staff, not to disclose any confidential information obtained in the course of duty.