Saltire Certificate Request and Case Study (Form D)

Saltire Certificate Request and Case Study (Form D)
Please note: This form is used to request a Saltire Awards certificate for one or more volunteers at an organisation. It should be filled in by the volunteer supervisor.

Please provide us with a short case study (1-3 sentences) of your volunteer’s role(s). If preferred, this can also be filled in by the volunteers themselves.
Section 1 - Organisation Contact Details
Name of Organisation*
Contact Name*
Contact Email Address
Phone Number

Area CodePhone Number
Section 2 - Certificate Request and Case Study
All the following information will be used to produce the certificate. Please double-check the spelling of names before submitting this form. Please complete for all your organisation's volunteers who are claiming certificates.

Please tick all awards which are being requested.

In the Case Study field please summarize the role of the volunteer, how the volunteer has contributed to the organisation, special achievements, and/or personal development that you would like us to know about.

This could be for example: do they work as part of a team or in a 1:1 situation? Give information on the type of voluntary work they undertake as well as commenting on client groups and/or service users. Highlight individual qualities or skills that make the volunteer a valuable and effective contributor to the organisation. Special Achievements and / or personal development can be individual or as part of a group and an area of personal development or growth through volunteering.
Name of Volunteer 1*
Volunteer 1's Date of Birth

MonthDayYear
Date
Volunteer 1 Award(s) requested

10 hour award25 hour award50 hour award100 hour award200 hour award500 hour award
Volunteer 1 Case Study *
Role of volunteer, how has the volunteer contributed to the organisation, special achievements or personal development you would like to tell us about.
Would you like to request awards for any additional volunteers?

YesNo

Name of Volunteer 2*
Volunteer 2's Date of Birth

MonthDayYear
Date
Volunteer 2 Award(s) requested

10 hour award25 hour award50 hour award100 hour award200 hour award500 hour award
Volunteer 2 Case Study *
Role of volunteer, how has the volunteer contributed to the organisation, special achievements or personal development you would like to tell us about.
Would you like to request awards for any additional volunteers?

YesNo

Name of Volunteer 3*
Volunteer 3's Date of Birth

MonthDayYear
Date
Volunteer 3 Award(s) requested

10 hour award25 hour award50 hour award100 hour award200 hour award500 hour award
Volunteer 3 Case Study *
Role of volunteer, how has the volunteer contributed to the organisation, special achievements or personal development you would like to tell us about.
Would you like to request awards for any additional volunteers?

YesNo

Name of Volunteer 4*
Volunteer 4's Date of Birth

MonthDayYear
Date
Volunteer 4 Award(s) requested

10 hour award25 hour award50 hour award100 hour award200 hour award500 hour award
Volunteer 4 Case Study *
Role of volunteer, how has the volunteer contributed to the organisation, special achievements or personal development you would like to tell us about.

Thank you for providing this information, should you wish to request a certificate for any additional volunteers please fill in another form.

Privacy notice:

This form asks for the volunteer supervisor to hand in information on behalf of their volunteer(s). As a supervisor please make sure you have consent from your volunteer(s) to share this information

Who are we?

Voluntary Action Shetland is the TSI responsible for delivering the Saltire Awards in Shetland.

We would like to use the volunteer’s name within a case study about volunteering they have done.

Why would we like to use this information? We will use the information to publish a case study about the undertaken volunteering – this will be used to encourage other young people to volunteer, to promote Saltire Awards and the benefits of volunteering to others. It may be published on your local TSIs website, in their newsletter or ebulletin, used in local press releases or promoted via their social media activities. The main purpose, however, is to share this at a Saltire Awards Ceremony.

How to withdraw your consent: Volunteers or supervisors can withdraw the consent given in this form at any time. You can do this by contacting Voluntary Action Shetland vasvolunteering@shetland.org or 01595 743911
I confirm that the volunteer(s) have agreed to have their information in this form shared.

I confirm that the volunteering to be certificated was done under the ethos of volunteering defined below:

Volunteering has three clear characteristics which must be present and respected in all cases: Volunteering is a free will activity. It must not be undertaken through coercion and under no circumstances can it be mandatory; It is not undertaken for financial gain. Outwith reasonable expenses there must be no financial transaction to encourage someone to volunteer; It is a public and civil good undertaken for the benefit of the community, society at large or an individual other than the volunteer. Voluntary Action Scotland, Volunteering Principles for Scotland, 2014
Please tick

I can confirm this
Signature on behalf of the organisation

Clear
Should be Empty:

Saltire Certificate Request and Case Study (Form D)

Section 1 - Organisation Contact Details

Section 2 - Certificate Request and Case Study