Volunteer Application Form
Thank you for your interest in Go Forth and Clyde, if you would like to volunteerwith us please fill in below. Alternatively, get in touch at info@goforthandclyde.org.uk or call 01324 263700.
Name
*
First Name
Last Name
What is your phone number?
*
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your date of birth?
-
Month
-
Day
Year
Date
Emergency Contact Name:
First Name
Last Name
Emergency contact phone number:
What is their relationship to you?
Can you tell us a bit about yourself, such as what interests you about volunteering and if you have any experience that is relevant to the role?
Do you have a health condition, or are you taking any medication, which would affect your volunteering with Go Forth and Clyde or that you think we should know about?
Do you require any additional support to take part in volunteering? If so, please give details.
Do we have permission to take photos or videos of you?
Yes
No
Do we have permission to keep your details and contact you by
*
Phone
Text
Email
No
Signature
Date
-
Month
-
Day
Year
Date
Please give details of someone who can act as a reference for you, they should not be a relative.
First Name
Last Name
How do they know you?
What is their phone number?
What is their email address?
example@example.com
Self- Disclosure Form
Because of the nature of the volunteering work (working with potentially vulnerable adults), you are required by the Rehabilitation of Offenders Act 1974 to declare allcriminal convictions. Under the terms of the Rehabilitation of Offenders Act1974 you are entitled to withhold information about any convictions against youwhich are now ‘spent’. (Please see Self-disclosure sheet for more information.)Having a previous conviction does not automatically bar you from volunteering with us but it will help us, in discussion with you, decide if the opportunity you have applied for is the most suitable. All information given will be kept in your personal file which can only be accessed by authorised staff.Please givedetails about any criminal records on a Self-Disclosure Form and return it in asealed envelope marked private and confidential, attached to the applicationform. Volunteers will not be excluded from volunteering should they haveconvictions which are not relevant to the work carried out.
FURTHER INFORMATION ABOUT‘SPENT’ CONVICTIONS AND REHABILITATION PERIODS (Rehabilitation of Offenders Act1974: Rehabilitation periods)
What is a’Spent’ Conviction?Convictions are ‘spent’ when a specific period of time – known as a ‘rehabilitation period’ – has passed since you were convicted and you have not re offended during that period. How long is a ‘Rehabilitation Period’? The length of a ‘rehabilitation period’ will depend on the sentence received, and sentences longer than 30 months imprisonment can never be ‘spent’. Below are details of the length of ‘rehabilitation periods’ for various sentences.
CRIMINAL COURT SENTENCES SENTENCE RECEIVED AGED 18 YEARS AND OVER AT TIME OF CONVICTON AGED UNDER 18 YEARS AT TIME OF CONVICTION Prison or young offender institution (immediate or suspended sentence) over 6 months but less that 30 months 10 years 5 years Prison or young offender institution (immediate or deferred sentence) of 6 months or less 7 years 3.5 years Fine/community service/supervised attendance order/curfew order 5 years 2.5 years Absolute discharge or admonishment 6 months 6 months Disqualification Until disqualification period ends Until disqualification period ends Probation imposed after 5 February 1995 5 years 2.5 years or length of probation period, whichever is longer Hospital order 5 years from date of conviction or 2 years from the termination of the hospital order, whichever is longer 5 years from date of conviction or 2 years from the termination of the hospital order, whichever is longer DISCHARGEETC. FROM HER MAJESTY’S SERVICE SENTENCE RECEIVED AGED 18 YEARS AND OVER AT TIME OF CONVICTON AGED UNDER 18 YEARS AT TIME OF CONVICTION Discharge with public disgrace or dismissal with public disgrace 10 years 5 years Dismissal 7 years 3.5 years Any detention in respect of a conviction in servi9ce disciplinary hearings 5 years 2.5 years Suspended Sentences Suspended sentences (England and Wales) will carry a rehabilitation date should the sentence be imposed.
Details of Convictions
Date of convictions
Details of Pending Convictions
Equal Opportunities:
Go Forth and Clyde wants to meet the aims and commitments set out inits equality policy. This includes not discriminating under the Equality Act2010, and building an accurate picture of the make-up of the workforce inencouraging equality and diversity.The organisation needs your help and co-operation to enable it to do this, but filling in this form is voluntary. The information provided will be kept confidential and will be used for monitoring purposes. If you have any questions about the form contact us at info@goforthandclyde.org.uk.
What is your Gender?
Male
Female
Intersex
Non-Binary
Prefer not to say
If you prefer to use your own gender identity, please write in:
Is the gender you identify with the same as your gender registered at birth?
Yes
No
Prefer not to say
Age:
16-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65+
Prefer no to say
What is your ethnicity?
Prefer not to say
Asian, Indian
Asian, Pakistani
Asian, Bangladeshi
Asian,Chinese
Asian, Prefer not to say
Black, Caribbean
Black, African
Black, Prefer not to say
White, English
White, Welsh
White, Scottish
White, Northern Irish
White, Irish
White, British
White, Gypsy or Irish Traveller
White, Prefer not to say
Mixed, White and Black Caribbean
Mixed, White and Black Arican
Mixed, White and Asian
Mixed, prefer not to say
Arab
Any other White background, please write in:
Any other Mixed background, please write in:
Any other Asian Background, please write in:
Any other Black, African or Caribbean Background, please write in.
Other Ethnic Group write in
Do you consider yourself to have a disability or health condition?
Yes
No
Prefer not to say
What is the effect or impact of your disability or health condition on your work?
What is your sexual orientation?
Heterosexual
Gay
Bisexual
Lesbian
Asexual
Pansexual
Undecided
Prefer not to say
If you prefer to use your own identity, please write in:
What is your religion or belief?
No religion or belief
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Prefer not to say
If other religion or belief, please write in
Are you:
Employed full-time
Employed part-time
Prefer no to say
Carer
Retired
Self-employed
Student
Unemplyed
Do you have caring responsibilities? If yes, please tick all that apply
None
Primary Carer of a child/children (under 18)
Primary carer of disabled child/children
Primary carer of disabled adult (18 and over)
Primary carer of an older person?
Secondary carer (another person carries out the main caring role)
Prefer not to say
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