Volunteer Application Form

Volunteer Application Form

Due to our Data protection, your data is being saved on our secure system. We will not pass on your data to another organisations unless there is a safeguarding concern, but from time to time we may contact you to discuss being a case study for Little Miracles, this will not be done without your consent. If you do not consent to this please do not fill in this form and contact us on data@littlemiraclescharity.org.uk
What is your full name?*
What is your date of birth?*
What is your home address (including post code)?*
What is your contact number?*
What is your ethnic origin?*
What is your email address?*
Are you on a corporate day, on work experience or looking to volunteer?*
Please provide details of your skills and experience to explain why you are suitable for this volunteering opportunity, or give details of the specific role you are applying for

References
Professional referee full name*
This can be a teacher if you are still in full time education. Due to the nature of our work we require the names of two people, one professional and one personal, whom we can contact to provide a reference to support your application. They should not be relatives and you should have known them for a minimum of two years.
Professional referee's job title*
Professional referee address
Professional referee phone number
Professional referee email address*
We need an email address in order to send your referee a reference form. If you do not provide this, your volunteer application will be delayed
In what capacity does this person know you?*
Personal Reference

Please note, this can not be someone related to you.
Personal referee full name*
Personal referee job title*
Personal referee's address
Personal referee phone number
Personal referee email address*
In what capacity do you know this person?*

Asylum and Immigration Act 1996. Do you require a work permit? (Nationals from non-EU countries require a work permit to take up unpaid work in the UK)*

YesNoUnsure
Do you have any criminal convictions?*
If yes, please provide full details below. This information will be held in the strictest confidence.
Declaration: In accordance with the Data Protection Act 1998, the information provided on this form will be used in the recruitment and selection process and may be disclosed to all those who need to see it. It also forms the basis of the confidential volunteer record.I hereby declare that to the best of my knowledge all the information given by me is correct. I confirm that I do not object to the information collected on this form being used for the purpose of anonymous statistical reporting, in accordance with statutory requirements and to assist Little Miracles in equal opportunities monitoring. I agree that Little Miracles has the right to validate any of the information provided.*

I agree
Please print your name to confirm all of the details provided are correct to the best of your knowledge.*
Please provide todays date*

Counselling Volunteer Questions
At what level are you studying or are you qualified too? What is the qualification name?
Please select the age range you are able to work with
What university or course provider are you studying with?

Availability and Roles.