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Volunteer Application Form

Please complete the following form to apply for a volunteering role, or roles, with St John Scotland (SJS). If you have any questions or if you require support completing this form, please do not hesitate to contact us via the email address below.
volunteer@stjohnscotland.org.uk
Personal Information

Your contact details
Title*
Title
Name*

First Name(s)Last Name
If you would like to be known by another name, please enter it below:
If you would like us to use your preferred pronouns, please write them below:
Application Date

DayMonthYear
Date of Birth*

DayMonthYear
Calculation - age in days
Calculation - age in years
Email*
example@example.com
Contact Number*
Address (it's helpful for us to know where you are based, so we can share volunteering opportunities within your local area)*

Street Address

Street Address Line 2

City/TownState / Province

Postcode
Which is your preferred Area?
Is English your first language?
As you have selected no to English being your first language, please detail below which languages you do speak/write/read.
St John Scotland Representative
If you have already made contact with a St John Scotland representative, please tick this box.
We would be grateful if you could give us the name of the St John Scotland representative that you spoke with or which event you attended (for monitoring purposes only):
Volunteering roles, experience and support

Please give us a little bit more information about the role(s) you are interested in applying for, any past experiences and additional support that you may require in your volunteering role. You can find our role descriptions by clicking on our logo below.
What volunteering role(s) are you interested in applying for? (you can select more than one)*

CPR Lead (18+ yrs old)CPR Champion (18+ yrs old)Patient Transport Coordinator (18+ yrs old)Patient Transport Driver (21+ yrs old)Public Access Defibrillator (PAD) Lead (18+ yrs old)Public Access Defibrillator (PAD) Volunteer (18+ yrs old)Other
CPR Champion

Our volunteers deliver Bystander CPR Awareness sessions nationally and we are always looking for CPR Champions to assist us throughout Scotland. You can find a copy of the role description by clicking on the photo below.
Please tell us what skills/experience you think would make you a good CPR Champion (please use the volunteer role description for reference)*
We ask our CPR Champions to make a minimum commitment of one year when they begin volunteering. Is there anything that may prevent you from being able to make this commitment?*
CPR Lead

Our CPR Lead will support the delivery of bystander CPR demonstrations to community groups across your local area.
Please tell us what skills/experience you think would make you a good CPR Lead (please use the volunteer role description for reference).*
We ask our CPR Lead to make a minimum commitment of one year when they begin volunteering. Is there anything that may prevent you from being able to make this commitment?*
Please select all that is applicable that best fits you :*

I have First Aid, CPR and/or defibrillator knowledge/trainingI have the ability to talk to groups of people and give demonstrations of CPR techniques (training provided)I have access to a computer and mobile phone and I am comfortable using emailI am friendly and have strong communication skillsI have access to a car (this is useful for this volunteering role)
Patient Transport Driver

We are always looking for Patient Transport Drivers to assist us, our volunteer drivers provide transport for patients to, and from, their oncology/renal unit at the Areas’ agreed hospital(s) - sometimes in their own vehicles and sometimes in St John Scotland vehicles. You can find a copy of the role description by clicking on the photo below.
What interests you about the Patient Transport Driver role?*
Please tell us what skills/experience you think would make you a good Patient Transport Driver:*
All patient transport drivers are expected to undergo a driving assessment.

Before we allow volunteer drivers to use their own car for Patient Transport purposes, we carry out checks to make sure it is roadworthy, clean, kept in good condition and suitable for patients.
Do you have access to an appropriate car, which would be suitable to transport a patient?*

Yes - my own carYes - someone else's carNo - I would only be able to use the St John Scotland Vehicles
Would you be happy to use this car for Patient Transport?*

YesNo
We ask our for Patient Transport Drivers to make a minimum commitment of at least six months as we see this as a long term volunteering role. Please select that you understand the minimum commitment required for this volunteer role.*

Yes
As this role requires a driving licence, we need to ask you a few questions.
Do you hold a UK full driving licence*
As you have selected no, you do not hold a full UK licence, please specify the issuing country and the expiry date/validity within the UK.
Do you have any points on your driving licence? *
As you have selected yes, can you please give more information about the points you have. This may not prevent you from driving with us but it is required for insurance purposes.*
Patient Transport Coordinator

As a volunteer Patient Transport Coordinator your role will include overseeing, and managing, the volunteer team who provide transport for patients to, and from, their oncology/renal unit at the Areas’ agreed hospital(s).
Please tell us what skills/experience you think would make you a good Patient Transport Coordinator (please use the volunteer role description for reference).*
As a Patient Transport Coordinator you may be required to provide standby support as a Patient Transport driver where necessary.

All patient transport drivers are expected to undergo a driving assessment.

Before we allow volunteer drivers to use their own car for Patient Transport purposes, we carry out checks to make sure it is roadworthy, clean, kept in good condition and suitable for patients.
Do you have access to an appropriate car, which would be suitable to transport a patient?*

Yes - my own carYes - someone else's carNo - I would only be able to use the St John Scotland Vehicles
Would you be happy to use this car for Patient Transport?*

YesNo
Do you hold a UK full driving licence*
As you have selected no, you do not hold a full UK licence, please specify the issuing country and the expiry date/validity within the UK.*
Do you have any points on your driving licence? *
As you have selected yes, can you please give more information about the points you have. This may not prevent you from driving with us but it is required for insurance purposes.*
We ask our for Patient Transport Coordinators to make a minimum commitment of at least one year as we see this as a long term volunteering role. Please select that you understand the minimum commitment required for this volunteer role.*

Yes
Public Access Defibrillator (PAD) Volunteer

Our volunteers work with local communities throughout the country to support the installation of Public Access Defibrillators (PADs). Our PAD volunteers supports the PAD Lead(s). We are always looking for volunteers to assist us throughout Scotland. You can find a copy of the role description by clicking on the photo below.
Please tell us what skills/experience you think would make you a good PAD volunteer (please use the volunteer role description for reference)*
We ask our for PAD volunteer to make a minimum commitment of at least six months as we see this as a long term volunteering role. Please select that you understand the minimum commitment required for this volunteer role.*

Yes
Public Access Defibrillator (PAD) Lead

Our volunteers work with local communities throughout the country to support the installation of Public Access Defibrillators (PADs). Our PAD Lead(s) assess applications, offer guidance on site placement and installation of PADs to support and advise community groups across your local area.
Please tell us what skills/experience you think would make you a good PAD Lead Volunteer (please use the volunteer role description for reference).*
We ask our for PAD Lead volunteer to make a minimum commitment of at least one year as we see this as a long term volunteering role. Please select that you understand the minimum commitment required for this volunteer role.*

Yes
Please select all that is applicable that best fits you :*

I have First Aid, CPR and/or defibrillator knowledge/trainingI have the ability to talk to groups of people and explain the importance of PADs (training provided)I have access to a computer and mobile phone and I am comfortable using emailI am friendly and have strong communication skillsI have access to a car (is useful for this volunteering role)
A little bit about you

Your availability

We would like this information to understand when you may be available to assist with St John Scotland in one of our volunteering roles. These are not set hours and can be changed at any time.

Please let us know your availability to volunteer (times & days of the week):*

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Morning
Afternoon
Evening

Please give details of any skills, experience, interests and previous volunteering roles that you feel are relevant to this application.*
Do you have any medical conditions that you would like us to be aware of?*
Please select one of the options
If yes, please detail below:
Are there any other areas of support or adjustments that you might need to enable you to volunteer with us?
Please select one of the options
If yes, please can you describe them below, this information will be shared with volunteers local to you and will discuss how they could support:
Character Reference

Please provide the contact details for a character reference.
Character Reference Name*

First NameLast Name
Relationship to you (colleague, line manager, friend, etc)*
Organisation (if applicable)

Organisation name

Street Address Line 2

CityState / Province

Postcode
Email*
example@example.com
Contact Number
Emergency Contact Person

For our records, please provide details of who we should contact in the unlikely event of an emergency:
Emergency Contact Name*

First NameLast name
Their relationship to you*
Contact Number*
Email*
example@example.com
Criminal Convictions Self Declaration

We ask all volunteers to give us information any of previous convictions. Having a previous conviction does not automatically bar you from volunteering with us. This information will be discussed with you, to determine the suitability of your application to volunteer with SJS. Some volunteering roles are classed as regulated work, and we are required to carry out a PVG check by Disclosure Scotland. All information given in this section and will be kept strictly private and confidential and only used for official purposes.
Under the terms of the Rehabilitation of Offenders Act 1974 you are entitled to withhold information about any convictions against you which are now 'spent'.
Do you have any convictions to self-disclose?
Please select one of the options
Please detail your convictions below (including date and if the conviction is 'spent')
Please contact us if you have any questions at all on completing this section.
Protecting Vulnerable Groups

If you are progressed as a volunteer, you will be required to apply for a PVG Scheme Record (even if you already hold another role with SJS or with another organisation/company).
Our Patient Transport (protected adults), CPR (children), and Community First Responders (Protected adults and children – PVG conducted by Scottish Ambulance Service) Volunteering roles are classed as regulated work and you will be asked to complete a PVG scheme application. Disclosure Scotland manages these checks when you apply for the PVG. You can find out more about the PVG Scheme at the website www.mygov.scot/pvg-scheme
Please confirm, by ticking the relevant box below, that you agree to the request of applying to join, or update, your PVG Scheme Record should you be offered a place as a volunteer. This service is free to volunteers.*

I currently hold a PVG for Children, and agree to get an update for SJSI currently hold a PVG for Protected Adults, and agree to get an update for SJSI currently hold a PVG for both categories, and agree to get an update for SJSI currently hold a PVG, unsure of which category, and agree to get an update for SJSI do not currently hold a PVG, and agree to apply
Our contact with you

For GDPR purposes, we need your consent to keep in contact with you.
Please let us know what types of information you would like to receive*

News and updatesFundraising eventsVolunteering opportunitiesInformation about my support for St John Scotland
Please let us know how you would like us to keep in touch with you:*

EmailPhonePost
It looks like you requested information by phone, but didn't provide a phone number. If you'd like us to keep in touch by phone, please fill in your number here:
How did you heard about St John Scotland?*

Internet searchWord of mouthFamily/friendPress coverageSocial mediaAt a local SJS eventAt a national SJS eventCareer FairVolunteer FairOther
Your data

We take your privacy seriously and will only process your personal data with your consent and in accordance with our Privacy Policy.

We will hold your data in accordance with The General Data Protection Regulations (GDPR). We are registered with the Information Commissioner, our registration number is ZA420323.
Please tick the box below if you consent to your data being collected and processed in this way.*

Agree
Equality and Diversity
St John Scotland wants to meet our aims and commitments to equality and diversity. This includes not discriminating under the Equality Act 2010 and building an accurate picture of the make-up of our volunteer workforce in encouraging equality and diversity.

Your answers will not impact your application or current volunteering role(s) within SJS.

If you have any questions about this form or in relation to equality and diversity matters, contact us: volunteer@stjohnscotland.org.uk
Would you like to complete this section?
Personal Details:
Gender

MaleFemaleNon-binaryPrefer not to say
Is the gender you identify with, the same as your gender registered at birth?

YesNoPrefer not to say
Age:

16-2425-2930-3435-3940-4445-4950-5455-5960-6465-6970-7475+Prefer not to say
What is your ethnicity?

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box:
Asian or Asian British

IndianPakistaniBangladeshiChinesePrefer not to sayOther
Black, African, Caribbean or Black British

AfricanCaribbeanPrefer not to sayOther
Mixed or Multiple ethnic groups

White or Black CaribbeanWhite and Black AfricanWhite and AsianPrefer not to sayOther
White

EnglishWelshScottishNorthern IrishIrishBritishGypsy or Irish TravellerPrefer not to sayOther
Other ethnic group

ArabPrefer not to sayOther
Disability:

Do you consider yourself to have a disability under the Equality Act 2010?

In the Act, a person has a disability if:
- they have a physical or mental impairment
- the impairment has a substantial and long-term adverse effect on their ability to perform normal day-to-day activities
For the purposes of the Act, these words have the following meanings
- 'substantial' means more than minor or trivial
- 'long-term' means that the effort of the impairment has lasted or is likely to last for at least twelve months (There are special rules covering recurring or fluctuating conditions)
- 'normal day-to-day activities include everyday things like eating, washing, walking, and going shopping
Do you consider yourself to have a disability under the Equality Act 2010?
As you have selected yes, please describe the nature of your disability.
Sexual Orientation:
What is your sexual orientation?

HeterosexualGayLesbianBisexualAsexualPansexualUndecidedPrefer not to sayOther
What is your primary language

EnglishPrefer not to sayOther
What is your religion or belief?

No religion or beliefBuddhistChristianHinduJewishMuslimSikhPrefer not to sayOther
Do you have caring responsibilities? If yes, please tick all that apply.

NonePrimary carer of a child/children (under 18)Primary carer of a disabled child/children (under 18)Primary carer of a disabled adult (over 18)Primary carer of an older personSecondary carer (another person carries out the main caring role)Prefer not to say
We would like to thank you for your time and for providing the answers to this survey. If you have anything that you wish to suggest or bring to our attention. Please contact us at our volunteer mailbox
Any further comments
Do you have anything else that you wish to add?
Declaration & Agreement
I declare that to the best of my knowledge the above information is correct. If I am successful in my application I understand that if it is found that I have deliberately given false information, or withheld relevant information, then my application may be declined.*

Agree
Thank you so much for your interest in St John Scotland.
Unfortunately, we don’t have any opportunities for people under the age of 18 at the moment. It is something we are looking to develop soon.

In the meantime, we recommend looking at St Andrews First Aid as they run a youth programme which you may find of interest.

This is the link to their website for more information: https://www.firstaid.org.uk/
Should be Empty:

Volunteer Application Form

Personal Information

St John Scotland Representative

Volunteering roles, experience and support

CPR Champion

CPR Lead

Patient Transport Driver

Patient Transport Coordinator

Public Access Defibrillator (PAD) Volunteer

Public Access Defibrillator (PAD) Lead

Character Reference

Emergency Contact Person

Criminal Convictions Self Declaration

Protecting Vulnerable Groups

Our contact with you

Your data

Equality and Diversity

Any further comments

Declaration & Agreement

Thank you so much for your interest in St John Scotland.