Volunteer Candidate Registration Form

Volunteer Application Form
Name

TitleForename(s)Surname
Preferred Pronoun
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
Telephone
Please tell us a little more about you and what skills and qualities you feel make you suitable for a volunteer role and what your interests are.
Emergency Contact Information
Contact Name
Contact Relationship
Contact Number
Which days/times are you available to volunteer? (please tick all that apply)

Monday (10am - 1pm)Monday (1pm - 4pm)Tuesday (10am - 1pm)Tuesday(1pm - 4pm)Wednesday (10am - 1pm)Wednesday (1pm - 4pm)Thursday (10am - 1pm)Thursday (1pm - 4pm)Friday (10am - 1pm)Friday (1pm - 4pm)Saturday (10am - 1pm)Saturday (1pm - 4pm)
Where would you like to volunteer? (please tick all that apply)

Community Shop (in store)Community Shop (sorting donations)AllotmentWildlife ProjectsFood BankEvent OrganisingCollecting DonationsAnything & everything
The right to volunteer in the UK can be dependent on your citizenship and UK immigration status so please make sure that you are allowed to volunteer on your visa.

Please tick the box to show that you are legally entitled to volunteer
Do you hold a full, current driving licence?

YesNo
Vulnerable Adults

Some positions with Weighton Wolds CIC may bring volunteers into contact with vulnerable people. Please note that some volunteers are required to undergo a disclosure and barring service check.
Criminal Convictions
Have you ever been convicted of a criminal offence?

YesNo
Is the offence "spent" as defined by the Rehabilitation of Offenders Act 1974

YesNoN/A
Do you have a criminal conviction which is unspent or pending against you?

YesNo
If you answered yes to any of these questions please provide details here
Disability

The Disability Discrimination Act 1995 regards a person to have a disability who has a physical or mental impairment which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities.
Do you consider yourself to have a disability?

YesNo
If yes, what is the nature of your disability?
What reasonable adjustment could we offer to assist you?
IMPORTANT: Using email and text to manage your volunteering at Weighton Wolds CIC

We want to make sure you have a fantastic experience volunteering with us and it is important that we are able to contact you. To enable us to do this we will need to contact you by phone, email or text from time-to-time.
Please tick the boxes below to let us know you are happy to hear from us in this way

Please contact me by emailPlease contact me by phonePlease contact me by textI am happy to join a WhatsApp groupI am happy to join a Facebook Message Group
Declaration

I declare that the information given in this application is a true and complete statement. I understand that any offer of appointment and subsequent volunteering is subject to satisfactory disclosure from the Disclosure and Barring Service or Disclosure Scotland at the appropriate level, where this is a requirement of the role.
Signature

Clear
Should be Empty:

Volunteer Application Form

Emergency Contact Information