Volunteer Application Form

Your Details













MaleFemaleTransgender


YesNo

If "Yes" please give more details:


YesNo

No ReligionFaith

If "Faith" please state which:


SingleMarriedCivil PartnershipCohabitingWidowedDivorced

HeterosexualLesbianGayBisexualOther

If "Other" please give more details:


RetiredEmployedUnemployedOther

If "Other" please give more details:

(Please provide details of current employment or volunteer work e.g. job title, name of organisation and dates employed/volunteered if applicable)

(E.g. internet, word of mouth, local advert, radio etc)


Transport DriverHome Support/Group SupportFundraising

Transport


YesNo

YesNo

Availability

Please indicate when you are most likely able to volunteer:


MonTueWedThuFri


MonTueWedThuFri

Application


(e.g. Redundancy, bereavement, divorce, major illness etc)




Your Referees

Because of the confidential nature of the work it will be necessary for us to take up references. Please give details of two people (NOT RELATIVES) who have known you for at least two years, preferably in connection with some work (either paid or voluntary) to whom we may apply for references. Submitting this form will be treated as consent to these enquiries being made.

Reference 1












Reference 2












Emergency Contact Details






Declaration

I confirm that the information on this form is true and correct
I agree to abide by the volunteer policies/procedures of Being There

In accordance with the Data Protection Act 1998 I give permission for this personal information to be stored and processed for the purposes of volunteering and monitoring and for sensitive data to be stored and processed in connection with equal opportunities, health and safety reasons and compliance with the requirements of national standards.

Declaration of Criminal Record

As an organisation committed to equality and diversity, Being There recognise the contribution that all people can make as volunteers and so we welcome enquiries of interest from everyone. We recognise too that some potential volunteers have criminal records and are reluctant to apply for voluntary work where this would involve the disclosure of their record. We understand that people are often may fear they will not be treated fairly because of them.

Please rest assured that we will handle any information provided below in confidence. Should you disclose them, we will not take into account convictions deemed spent under the Rehabilitation of Offenders Act, unless the voluntary position is exempt from the Act.

Some of our volunteer positions are exempt from the Rehabilitation of Offenders Act. As such, we will ask for disclosure of both spent and unspent convictions, and also cautions, reprimands, and final warnings. Where appropriate to the role, we will also ask you to agree to a Disclosure and Barring Service check. If the DBS check reveals information that we were not previously aware of, we will discuss the matter with you before making a final decision. Whilst it is unlikely that a Criminal Record would prevent you from volunteering, we consider each case on an individual basis.


YesNo


YesNo

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