Lady painting wall
Volunteer Registration Form

Apply - * Denotes required fields

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

*Full Name:
*Address:
*Daytime Phone:
Evening Phone:
Mobile:
 *Postcode:
*Email:


 Fax:
How did you find out about the Volunteer Bureau?

Select applicable:


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Other:
What volunteer opportunities interest you - Select options that apply

Interests:


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Other:
State your occupation/ work experience / interest / 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:
Religion:
Age Group:
 Gender:
Employment Status:
 Ethnic Origin:
Other:


 Nationality:
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 Referee 2
Name:
Name:
Address:
 Address:
Postcode:
 Postcode:
Telephone:


 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.