APPLY

If (in the course of your voluntary activities) you should be in a position of having direct and substantial access to children & young persons up to the age of 18 years, you will be subject to a rigorous and thorough vetting procedure. This will include an application being made for a Police check for criminal convictions.

Do you have any objections to an application being made? - YES - NO

If you should have an objection to an application being made for a Police check by this or any other organisations which may employ you. It MAY have a barring upon you eligibility to undertake voluntary work with children, but it will NOT be a barrier to your registration as a volunteer or your opportunities to work in other areas.

Please fill this form in giving us as much detail as possible so that a suitable placement can be arranged. If a placement is unsuitable, please ask for an alternative.

INDIVIDUAL DETAILS - * Required Fields
*Full Name:
*Address:
*Daytime Phone:
 
Evening Phone:
 
Mobile:
 
*Email:
 
Fax:
*Postcode:
HOW DID YOU FIND OUT ABOUT THE VOLUNTEER BUREAU?
Select applicable:

Select multiples by holding the Ctrl Key
Other:

WHAT VOLUNTEER OPPORTUNITIES INTEREST YOU - Select options that apply

Interests:

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Activities:
Other:
STATE YOUR OCCUPATION/WORK EXPERIENCE/INTERESTS/HOBBIES
WHEN ARE YOU AVAILABLE - Tick any that apply
Select
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
AM
PM
EVE
INFORMATION BELOW WILL BE USED FOR STATISTICAL PURPOSES
Date of Birth:

Age Group:

Gender:

Employment Status:
Ethnic Origin:
Other:
Nationality:

Religion:

Disability
  
Are You Disabled?:

Are You Registered ?:

Please Specify :
WHY DO YOU WANT TO VOLUNTEER?
TRANSPORT - Tick any that apply
Do you have access to a car? :
Would you be interested in using it for voluntary work? :
Are you able to accommodate a folding wheelchair? :
PLEASE GIVE THE NAMES AND ADDRESSES FOR TWO REFEREES WHO HAVE KNOWN YOU FOR AT LEAST TWO YEARS - Non family members
Referee 1
Name :
Address :
Postcode :
Telephone :
Referee 2
Name :
Address :
Postcode :
Telephone :
VOLUNTEER TRAINING NEEDS ANALYSIS
Using the phone, taking messages & providing info to callers? :
Basic everyday number i.e. adding, subtracting, multiplying etc? :
Dealing with difficult clients either face to face or on the telephone? :
Using Word processing for letters, reports etc.? :
Using Spreadsheets to monitor expenditure? :
Inputting data and using databases? :
Sending e-mails? :
Accessing the Internet for information? :
I WOULD LIKE TRAINING IN
Select applicable :

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Other :
By submitting this form I agree to my name and address being forwarded to the placement organisation for volunteering and training purposes.