Volunteer Application Form

Thank you for applying to become a COVEY Volunteer and making a difference to our participants' lives!

It would be appreciated if you could complete the following application form. Should you have any queries or if you need assistance to complete this form, please contact Ewan McPherson at ewan.mcpherson@coveybefriending.org.uk or call/text on 07570 654240.

Your Name:

First NameLast Name

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Date of Birth:

Date

Phone Number:

Email Address:

example@example.com

Occupation (if applicable):

Emergency Contact Name:

First NameLast Name

Emergency Contact Phone Number:

Please briefly explain why you want to volunteer at COVEY:

What voluntary role(s) are you interested in (please select all that apply)

Befriender/Mentor for a young person (one-to-one)Befriender/Mentor for young people (within a group)Mentor for a Parent/Carer (one-to-one)Mentor for Parents/Carers (within a group)Opportunities during the day within schools and other community settingsOpportunities in the evenings in community settingsVolunteer DriverYoung Ambassador (for those previously supported by COVEY aged 16+)

Do you have any previous volunteering experience?

YesNoPrefer not to say

What is your previous volunteering experience?

Do you have hobbies/recreational activities that you feel you could bring in to your volunteering?

YesNoPrefer not to say

What are these hobbies/recreational activities and how could they positively impact those we support?

Are you a member of any clubs and/or associations?

YesNo

Please include any details of clubs and/or associations you are part of and any ways you think this could help us in providing our services at COVEY:

"A befriender/mentor is someone who makes a commitment to a person facing significant challenges in their lives. This could include experiences of social isolation, disengagement from education, caring responsibilities at home and issues relating to physical and mental wellbeing."

Do you have any relevant health or well-being conditions that may impact your ability to carry out this role?

YesNo

Please give details and how we can best support you:

This role requires you to participate in activities with young people and this can include manual handling of games equipment or physical games. Do you have any concerns about this responsibility?

YesNo

Please give details about this and how we can best support you:

How did you hear about COVEY?

Online/print advertSocial MediaWord of MouthOther

If you selected 'other', please specify below:

Can you Drive, with access to a car?

YesNo

How far are you willing to travel to attend volunteering activities?

up to 15 mins travel timeup to 30 mins travel timeup to 1 hour travel time

COVEY’S work takes place Monday-Friday. Please let us know your availability (select all that apply):

	Morning	Afternoon	Evening
Monday
Tuesday
Wednesday
Thursday
Friday

References

We need references from two different people who have known you for at least 2 years and have had contact with you within the last 3 months. Neither to be a relative/partner. Here is a list of people you could ask:

Employer/Work
Colleague Religious Leader
Volunteer Co-ordinator
Landlady/Landlord
Teacher/Lecturer/Tutor
Accountant/Lawyer
Social/Community Worker
Doctor/Health Worker

Reference 1

Name:

First NameLast Name

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Email:

example@example.com

Phone Number:

Capacity in which they know you:

Length of time they have known you:

Reference 2

Name:

First NameLast Name

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

Email:

example@example.com

Phone Number:

Capacity in which they know you:

Length of time they have known you:

Self-Declaration Form

Regulated work with children or vulnerable adults

The Protection of Vulnerable Groups (Scotland) Act 2007 (PVG Act)

The role of a COVEY volunteer is deemed as regulated work with children or vulnerable adults. You are therefore required to disclose all convictions (spent and unspent), cautions, and any relevant non-conviction information.

Section 1 relates to convictions and cautions.

Section 2 relates to relevant non-conviction information.

Should you be successful in being invited to join our training to become a Befriender/Mentor you will be required to complete a PVG (Protection of Vulnerable Groups) Scheme membership form.

Section 1: Do you have any convictions and/or cautions?

YesNo

Section 1

Please give the date and details of the conviction(s) that you were charged with, the sentence that you received and the court where your conviction(s) was heard:

Please give details of the reasons and circumstances that lead to your offence(s):

Please give details of how you completed the sentence imposed, (for example did you pay your fine as required, what conditions were attached to your probation/community service/supervised attendance order, did you comply with the requirements of your order/custodial sentence etc.

Has any other organisation(s) supported you to work through any of the above issues?

What have you learned from the experience?

Do you have any non-conviction information to provide relevant to this voluntary role?

YesNo

Section 2

Please detail any relevant non-conviction information:

Declaration

I certify that all information contained in this form is true and correct to the best of my knowledge and realise that false information or omissions may lead to dismissal.