Volunteer application form

Personal details

Name *

Address *

Home phone number

Mobile phone number

Email address *

Your motivation

Please tell us why you want to volunteer with us *

References

We require two written references. Your referees should not be directly related to you and should be over 18 years old. You should have known them reasonably well for at least 2 years on a personal level and one of the referees should be somebody who knows you professionally.

Reference 1

Name *

Address *

Phone number *

Email address *

In what capacity do they know you? *

Their relationship to you *

Reference 2

Name *

Address *

Phone number *

Email address *

In what capacity do they know you? *

Their relationship to you *

Health

In relation to health & safety, it is important that we know if there are any aspects of volunteering at our Centre that you would not be able to cope with. An impairment or health problem does not necessarily exclude you from volunteering at our Centre. All information given will be treated with the strictest confidence. It is important that you inform us if you should suffer from any illness in the that may affect your ability to volunteer for the organisation or that would put others at risk.

Are you registered disabled? *

Yes

No

Are there any other health issues that we should be aware of?

The following questions are optional – but it would really help us to know more about you.

Current employment status

Other (please detail)

Are there any skills you wish to develop / learn? Have you any relevant qualifications or training?

Background checks to be done

This role includes working with vulnerable children and families. To ensure their safety, there are a variety of checks that will be undertaken as part of pur recruitment process.

All applicants are required to have an enhanced DBS check. This check will share information with us about relevant convictions, cautions or reprimands. Having a conviction does not necessarily disqualify you for employment.

Please use the space below to tell us about any convictions, cautions or reprimands.

Statement of fact

If it came to light that any of the information submitted in this form was untrue, dishonest, incomplete, or misleading, this may prevent us being able to offer you a role or taking disciplinary action after you have started to volunteer at our Centre.

If you agree to the above, please sign (or give your name) below and give today’s date.

Your Name *

Date *

Personal details

Your motivation

References

Reference 1

Reference 2

Health

The following questions are optional – but it would really help us to know more about you.

Background checks to be done

Statement of fact

If you would prefer to download a copy of the form, please use the button below.