Volunteer Application Form
1. Contact Information
a. Name
First Name
Last Name
b. Date of Birth
-
Month
-
Day
Year
c. Phone Number
Please enter a valid phone number.
d. Email
example@example.com
e. Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
f. Which area would you like to volunteer in?
Kensington & Chelsea
Hammersmith & Fulham
Brent
Westminster
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2. Emergency Contact Information
a. Emergency Contact: Name
First Name
Last Name
b. Emergency Contact Number
Please enter a valid phone number.
c. Emergency Contact Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
d. What is their relationship to you?
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3. Demographics
a. What are you pronouns?
b. What is your gender identity?
c. What best describes your faith?
d. What best describes your ethnic group?
e. What languages do you speak?
f. What is your occupation?
g. Have you resided in the UK for the last two years?
Please Select
Yes
No
h. If yes, please confirm that you have NOT travelled outside the UK for more than 90 days throughout the last 2 years
I confirm that the above is true
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4. Position and Availability
a. What position would you like to volunteer as?
Family Befriender (Parent Befriending)
Child Mentoring
Task Team
b. What is your availability?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
AM
PM
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5. Experience and Motivation
a. Why do you want to volunteer for Family Friends?
b. What skills, experience, and values would you bring to Family Friends?
c. Please tell us about any relevant qualifications you may have
d. Please describe any relevant work experience you have
e. Please tell us a bit about you and your hobbies and interests
f. How did you hear about Family Friends?
Please Select
Internet search
Word of mouth, (family/friends/colleagues)
Other organisation/charity
Poster or advert
Social media
Don't remember
Prefer not to say
Other
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6. References
Please provide the details of two referees below, one professional and one personal
a. Professional Referee : Name
First Name
Last Name
b. Professional Referee: Phone Number
Please enter a valid phone number.
c. Professional Referee: Email
example@example.com
d. Professional Referee: Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
e. Personal Referee: Name
First Name
Last Name
f. Personal Referee: Email
example@example.com
g. Personal Referee: Phone Number
Please enter a valid phone number.
h. Personal Referee: Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
i. I will contact my coordinator to complete the DBS process
Yes
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7. Health Record
a. Please provide details of any health issues
b. Is there any condition in your own health that might affect your present or future volunteer work?
c. Are you at present receiving any medical treatment or attention that might affect your present or future volunteer work?
d. Are you taking any drugs or medicines which may affect your volunteer work?
e. Please provide details of reasons for your sickness absence over the last year
f. Is there anything else in your history and/or circumstances which might affect your volunteering with us and/or your ability to perform the role for which you are applying?
g. Do you consider yourself to have a disability, impairment, learning difference or long-term condition?
h. If yes, how can we best accommodate this for you?
i. Do you have special needs for which Family Friends should make provision even if you do not consider yourself to suffer from a disability?
j. Please use this box if you would like to add or describe anything in more detail
k. I hereby declare that all above answers are, to the best of my belief, true and complete and I have not withheld any information
Would you like to join our mailing lists to receive further information on resources and events that could be beneficial to you?
Yes
No
Would you like to join our mailing lists to receive further information on resources and events that could be beneficial to you?
Yes
No
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