Nantwich Buddies Volunteer Registration Form

Nantwich Buddies Volunteer Registration Form
Thank you for your interest in being a volunteer for Nantwich Buddies, we a delighted you are considering joining us!

Please complete as much of this form as possible and our Volunteer Coordinator will be in contact within 5 working days.
Please read the following statements carefully:
- I am happy to undertake a DBS (Police Disclosure) at my own expense in order to become a Buddy (approx £15).
- I have never been refused or removed from a volunteer role before.
- I am able to contribute a minimum of four hours a month to be a Nantwich Buddy.
- I am happy to attend at least two full team meetings per year.
I agree with and declare that the four statements above are true, and will abide by them:

YesNo
Personal Details
Name*

PrefixFirst NameLast Name
Address*

Street Address 1

Street Address Line 2

Town County

Postcode
Age*

18 - 24 years old25 - 44 years old45 - 64 years old65+
Phone Number*

Area CodePhone Number
E-mail*
Volunteer Information
How did you hear about Nantwich Buddies?
Current (or retired) Occupation
In brief, please explain why you would like to volunteer for Nantwich Buddies?*

0/200
Relevant skills*
Please list any relevant skills or experience. Mention ways you may be ablet to support our service users and wider organisation .
Role(s) you can fill*

In-person befrienderTelephone befrienderSocial group host / leadSocial group support team
Do you hold a current first aid certificate? *

YesNo
Please list any medical conditions we should be aware of...
If you regularly attend a social group, church or other volunteer organisation, please name:
Police DBS Checks
I consent to undergo a DBS checks before I become a volunteer*

YesNoI would like more information - please contact me
References

Please provide contact details for someone you have known for at least three years and who can vouch for your suitability as a Buddy.
Referee Name*

First NameLast Name
Referee Phone Number*

Area CodePhone Number
Referee Email*
example@example.co.uk
How long have you had this relationship?*
Years
Training and Availability
You will be required to:
- complete a short onboarding process before volunteering commences with our Volunteer Coordinator
- attend at least two team meetings in a 12-month period (vital for ongoing training and support)
- use WhatsApp and email to keep in touch with the rest of the Buddies team
Please indicate approx. how many hours your commitment would be and weekly or fortnightly *
Emergency Contact

Please provide details of your emergency contact
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship to you:
Declaration
I have reviewed and completed this form as applicable to me. I give Nantwich Buddies permission to verify any information I have provided.

This authorisation shall continue to be effective until revoked by me. A copy of this consent shall be as effective as the original.

By my initials below, I declare that all information on this form is true and accurate.

I consent to my information being stored and used in accordance with Nantwich Buddies privacy policy.
My initials here signify that I agree to the terms above:*
Signature

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Nantwich Buddies Volunteer Registration Form

Personal Details

Volunteer Information

Police DBS Checks

References

Training and Availability

Emergency Contact

Declaration