VOLUNTEER APPLICATION FORM (IMPORTANT PLEASE COMPLETE EACH SECTION FULLY)

APPLICATION FOR VOLUNTEER SERVICE AS AN ACCREDITATION INSPECTOR
GUIDANCE FOR THE PLACEMENT OF VOLUNTEERS PLACEMENT OF
INVOLVING VOLUNTEERS INFORMATION AND RESOURCE PACK

JOB DESCRIPTION JOB TITLE VOLUNTEER COORDINATOR HOURS AS
MACMILLAN CANCER SUPPORT VOLUNTEER ROLE DESCRIPTION AND SKILLS
VOLUNTEER PERFORMANCE EVALUATION 3 MONTH CHECKPOINT

VOLUNTEER APPLICATION FORM (IMPORTANT PLEASE COMPLETE EACH SECTION FULLY)




VOLUNTEER APPLICATION FORM

(Important: Please complete each section fully)


Personal details


First name(s): ……………………………………………………….



Family/surname: ………………………………………………………



Address: ……………………………………………………………………………………………..


…………………………………………………………………………………………………………


Postcode: ……………………………………..


Tel: Home/Work: …………………………………… Mobile: ……………………………………



Email address: ……………………………………………………………………………


Date of Birth: ………………………


Gender: Female Male Other



Volunteer role you are interested in (if known): …………………………………………………….



Languages spoken……………………………………………………………………………………


Do you drive and have access to a vehicle? Yes □ No □


Emergency contact details (Next of Kin)


Name: ………………………………………………………………………………



Address: …………………………………………………………………………………………………


…………………………………………………………………………………………………………………


Contact number: Home:…………………………………………………………………….


Mobile:……………………………………………………………………



Relationship to you:………………………………………………………………………….


Your availability: Please tell us on what days and at what times you’re likely to be available for voluntary work (Please include weekends/evenings if appropriate):


………………………………………………………………………………………………………………....


To help us to offer you appropriate support, please tell us, in confidence, of any health issues, disability or other circumstances, that might affect the type of work you’re able to do:


………………………………………………………………………………………………………………….


……………………………………………………………………………………………………………..…..


Hobbies/Interests

Please tell us about any hobbies or interests that you have:


………………………………………………………………………………………………………………....


………………………………………………………………………………………………………………....


………………………………………………………………………………………………………………...


How did you find out about our volunteering opportunities?


(Please √ the relevant boxes)

□Poster/leaflet □Do-it Website □Volunteer centre □Talk/Presentation/Event □Charity’s website

□From an existing volunteer □Other (please specify) …………..…….



Previous work/voluntary experience

(Please give details of all paid and voluntary work undertaken during the past 10 years.)

Name/Address of Organisation

From

To

Paid or

Voluntary

Reason for Leaving























Criminal Convictions

As we work with vulnerable people, some volunteer roles are exempt from the provisions of the Rehabilitation of Offenders Act 1974. Because of this, you must disclose all current and previous convictions. Please note that a criminal record won’t necessarily stop you being considered for

voluntary work with us. If, at a later date, we find that you didn’t declare, or you falsified this information, this could result in the termination of your voluntary work.


Have you ever been convicted of a criminal offence, or are you involved in any criminal proceedings at present?

Please √ the relevant box □ Yes □ No


(If you’ve answered yes, please give full details on a separate piece of paper and put this in an envelope marked Private and Confidential. Please return this with your application form. We may require a criminal records check before considering your application further. If so, we’ll inform you of this beforehand.)


Do you give your permission for us to carry out this check?

Please √ the relevant box □ Yes □ No


References

Please give full contact details of two people who’ve known you for at least two years and who are willing to give you a reference. At least one of these should know you in a formal way e.g employer, supervisor, and you must give their business address. Please do not give the names of family members.



Name: ……………………………………….


Address: ………………………………………


………………………………………………….


Postcode: ……………………………………..



Email address: ……………………………….



Tel: ……………………………………………..


How do they know you?


…………………………………………………..


How long have they known you?


……………………………………...................


Name: ……………………………………….


Address: ………………………………………


………………………………………………….


Postcode: ……………………………………..



Email address: ……………………………….



Tel: ……………………………………………..


How do they know you?


…………………………………………………..


How long have they known you?


……………………………………....................


Additional Information

Please provide any additional information in support of your application:


………………………………………………………………………………………………...........................


………………………………………………………………………………………………………….……....

Age UK Bolton needs your permission to capture, process and store your personal information. It is a standard legal requirement for your protection.

How would you like us to in keep in touch with you? By (Tick all that apply):

May we contact you about:


You can change your mind at any time by contacting us on 01204 382411, emailing [email protected] or writing to us at: Age UK Bolton, The Square, 53-55 Victoria Square, Bolton, BL1 1RZ.


You can find out more information in our privacy notice on our website: www.ageukbolton.org.uk. We can also provide a hardcopy on request, as above.


I confirm that all the information in this application form is true and accurate.



Signature: ……………………………………..…………….. Date: ………………………………….


Thank you for your interest in volunteering with Age UK Bolton. Your references will now be requested and as soon as we have received both we will be in touch to arrange an informal meeting to discuss the role(s) you are interested in. In order to speed up this process, you may wish to contact your referees to encourage them to reply as soon as possible.


Please return this form, the equal opportunities monitoring form and any additional information we’ve requested, to:


Heather Crook

Operations Director

Age UK Bolton

Learning & Activities Centre

Cross Street

Farnworth

Bolton BL4 7AG

Telephone: 01204 701525

Email: [email protected]

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!!!SPANISH VOLUNTEER WANTED!!! SEZIONE LAZIALE DELLA UILDM ONLUS FROM
(ATTACHMENT 1) LAKEVIEW HEALTH CENTER VOLUNTEER INFORMATION SHEET NAME
1 WAUPACA PROGRAMS AND AGENCIES WITH VOLUNTEER DESCRIPTIONS AND


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