Volunteer Application Form

Volunteer Application Form

This document is available in additional formats, e.g. large print on request).
Volunteering at Adamsrill
- Thank you for your interest in volunteering/undergoing a student placement at Adamsrill.
- Please complete the form below to register your interest and return it to the main school office
- References and assessment suitability will be completed
- Upon receipt of your details, the school office team will contact you.
Adamsrill School is committed to promoting and safeguarding the welfare of all children and young people. Volunteers must be willing to undergo child protection screening, including checks with employers and the Disclosure & Barring Service (DBS).
PERSONAL INFORMATION
Full Name*

PrefixFirst NameMiddle NameLast Name
Is your child attending this school?*

YesNo
If yes, please state your child name*
Child's year group*
Do you have any other contact at Adamsrill School?*

YesNo
If yes, please state*
Home Address*

Home / Flat No

Street Address

CityState / Province

Postal / Zip Code
Home Phone Number
Work Phone Number
Mobile No*
Email Address*
Please provide 2 proof of ID: Passport / Driving License /Utility bill
ID (passport / driving license)*

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ID (Utility bill)*

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POSITION INFORMATION
Position for which you are interested*
e.g. Teaching Assistant
What age group would you like to work with?*

NurseryReceptionYear 1Year 2Year 3Year 4Year 5Year 6Other
Are you applying for Course/Training placement?*

Yes - Please attach a letter below from your collegeNo
If yes, please state your expectation / requirements or any other information which assist us to understand your placement needs. *
Attach a letter from your college*

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Length of time available *
e.g for 6 months etc
Please provide your availability *
Please state briefly why you would like to volunteer at Adamsrill? *
How would you be able to help?*
Do you have DBS?*

YesNo
If yes, please state the DBS No*
PROFESSIONAL REFERENCES
Please give the names and contact details including emails of two referees.

One must be your present employer if applicable.

REFERENCE 1 - Click to expand
Reference 1
Dates covered if applicable (write n/a if not applicable)*
i.e. From 28-02-2015 to Current
Name*

PrefixFirst NameLast Name
Position Held if applicable (write n/a if not applicable)*
Organisation / Person Name *
Organisation / Person Full Address*

No

Street Address

CityState / Province

Postal / Zip Code
Telephone / Mobile Number*
Ext No (if any)
Email*
example@example.com
What is your relationship to this referee?*
i.e. Line Manager / Headteacher, Tutor, Friend etc

REFERENCE 2 - Click to expand
Reference 2
Dates covered if applicable (write n/a if not applicable)*
i.e. From 28-02-2015 to Current
Name*

PrefixFirst NameLast Name
Position Held if applicable (write n/a if not applicable)*
Organisation / Person Name*
Organisation / Person Full Address*

No

Street Address

CityState / Province

Postal / Zip Code
Telephone / Mobile Number*
Ext No (if any)
Email*
example@example.com
What is your relationship to this referee?*
i.e. Line Manager / Headteacher, Tutor, Friend etc

Volunteer Application Form

PERSONAL INFORMATION

POSITION INFORMATION

PROFESSIONAL REFERENCES

Reference 1

Reference 2

SELF-DISCLOSURE FORM