RVT – Application Form for Counselling Volunteer

Application form for Road Victims Trust Counselling Volunteers
Important information

Before applying below, please make sure to read our 'About Volunteering' PDF and 'Counselling Volunteer Person Specification' PDF.

Please also check you can attend all the training dates by viewing our 'Training Programme' PDF, downloadable at the bottom of the 'Become a Volunteer Counsellor' webpage.

Note: we encourage everyone to apply online but if you wish to fill in a paper-based form, you can download one for printing here.
Confirmation*

I confirm I have read and understood the above information

Your details
Title*
Forename(s)*
Surname*
Preferred name*
Address*

Street Address

Street Address Line 2

Town / CityCounty

Postcode
Email*
Home phone number
Work phone number
Mobile*
Please provide brief details about why you would like RVT to contact you*

References
Please give details of two persons, other than family or friends, who may be contacted to provide a reference, one of whom can comment directly on your relevant counselling training and/or experience during the last 3 years. Please inform them that they are listed here as we always take up references.
Reference 1
Full name*
Relationship*
Email*
Contact number*
Reference 2
Full name*
Relationship*
Email*
Contact number*

Statement
I apply to join Road Victims Trust. I agree to complete a Disclosure and Barring Service application form if offered the post of volunteer counsellor.
Date*

DayMonthYear
Date
Signed*

Clear
The Road Victims Trust requires all prospective staff members to disclose all convictions including ‘spent’ convictions, as this work is covered by the exemption order of 1975 to section 4(2) and section 4(3b) of the Rehabilitation of Offenders Act 1974.
Do you have any convictions?*

YesNo
If yes you will be asked for details at your interview.

In view of the nature of the work undertaken by the Road Victims Trust we also ask you to provide information on driving convictions and points.
Do you have any driving convictions or points on your licence?*

YesNo
Should you be selected for interview and be successful, we will request some information about your driving license so that we can check this on the government website.

Information relating to convictions will be held in strict confidence.

The role involves travel (expenses are paid)
Do you have a full driving license?*

YesNo
Do you have use of a motor vehicle and are you able to drive independently?*

YesNo
Two one hour weekly visits is the average workload for a Road Victims Trust volunteer. Please list your availability for meeting with clients (e.g. Monday evenings, Friday all day)*
What would you consider as a maximum journey time for travel to a client visit?*
Current or last employment. Please give dates, employer details and description of post*
Previous employment. Please give dates, employer details and description of post*
Please give details of any voluntary work experience*
Please list counselling qualifications, or qualifications you are working towards and place of study (including completion or expected completion dates)*
Please give details of your experience in a counselling role*
Please list any counselling you have received*
Please give details of your own experience or that of family, friend, colleague or client of a bereavement that was violent or unexpected, being a victim of crime or attending court*
Please list your most recent or significant personal bereavement or bereavements*

About yourself
What has prompted this application?*
What might you find personally challenging working with the Road Victims Trust?*
What might you find personally satisfying in working with the Road Victims Trust?*
What might you find personally satisfying in working with the Road Victims Trust?*
How did you hear about becoming a Counselling Volunteer with the Road Victims Trust?*
If you would like more information please contact us on: 01234 843345

Thank you for completing this application form.

We will keep your application on file during the recruitment process please notify us if you want us to remove your details.

Road Victims Trust is committed to ensuring that minority and disadvantaged groups are positively welcomed and involved in all aspects of the Road Victims Trust.
Please verify that you are human*
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Application form for Road Victims Trust Counselling Volunteers

Your details

References

Reference 1

Reference 2

Statement

About yourself