Volunteer Application Form

Volunteer Application Form
Your Name:

First NameLast Name
Preferred Name:
Personal Details
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth:

DayMonthYear
Date
Preferred Phone Number:
Additional Phone Number (optional):
Email Address:
example@example.com
Do you have any accessibility needs/is there anything you would like us to know at this stage?
Employment, Clubs and/or Associations
At COVEY, we are always looking for ways to work together with other organisations to help us. This may be to arrange fundraising opportunities, share volunteering opportunities or connect with people who are interested in our work and services.

If you are currently working or a club/association member, it would be great if you could let us know some of these details to help us understand possible opportunities.
Employer (if applicable). If you don't wish to provide this information, please type 'prefer not to say' in the box:
Occupation (if applicable). If you don't wish to provide this information, please type 'prefer not to say' in the box:
Are you a member of any clubs and/or associations?
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:
Additional Details
Please briefly describe skills and experience that you feel would benefit you as a volunteer at COVEY:
Do you have a full/clean drivers licence & access to a car?
How far are you willing to travel to attend volunteering activities? [Select one]
What is your current availability for volunteering (COVEY requests 2-3hrs during weekdays)?
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
Email
example@example.com
Phone Number
How do they know you?
How long have they known you?
Reference 2:
Name

First NameLast Name
Email
example@example.com
Phone Number
How do they know you?
How long have they 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?
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?
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.
Should be Empty:

Volunteer Application Form

Personal Details

Employment, Clubs and/or Associations

Additional Details

References

Reference 1:

Reference 2: