Volunteer Registration & Induction Form

Volunteer Registration & Induction Form

Complete this form to register and prepare for your volunteering journey with Newport Support Network CIC.
Volunteer Details
Full Name

First NameMiddle NameLast Name
Preferred Name
Date of Birth

MonthDayYear
Date
Age
Automatically calculated from date of birth
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Postcode
Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact Details
Emergency contact name

First NameLast Name
Relationship to volunteer
Telephone number
Please enter a valid phone number.Format: (000) 000-0000.
Alternative telephone number
Please enter a valid phone number.Format: (000) 000-0000.
Does this person know they are listed as your emergency contact?
Volunteering Information
Why would you like to volunteer with Newport Support Network CIC?
Have you volunteered before?
Approximate date / when did you volunteer?

MonthDayYear
Date
Availability
Preferred start time

Hour Minutes

AM/PM Option
Preferred end time

Hour Minutes

AM/PM Option
Areas of interest

Other
If other, please specify your area of interest
How many hours per week are you able to volunteer?
Would you be available for occasional weekend volunteering?
Any other volunteering preferences or information we should know?
Health, Wellbeing & Support Needs
Do you have any medical conditions, disabilities, or support needs we should be aware of to support you safely while volunteering?
If yes, please provide details
Do you require any reasonable adjustments to help you volunteer comfortably and safely?
If yes, please describe the adjustments you need
Do you have any allergies staff should be aware of in an emergency?
If yes, please provide details
DBS and Safeguarding
Have you previously had a DBS check?
Approximate date of your most recent DBS check

MonthDayYear
Date
Volunteer Agreement
Agreement confirmation
Volunteer signature
Date signed

MonthDayYear
Date
Induction Checklist
Volunteer welcomed and introduced to the team
Tour of the centre completed
Fire exits and assembly point explained
First aid arrangements explained
Health and safety procedures discussed
Safeguarding procedures discussed
Designated Safeguarding Leads identified
Volunteer role and expectations explained
Confidentiality discussed
Volunteer rota arrangements discussed
Photo and Media Consent Form completed
Emergency contact details checked
DBS requirements discussed (if applicable)
Volunteer has had the opportunity to ask questions
Ready to commence volunteering
Signatures
Volunteer signature
Date signed by volunteer

MonthDayYear
Date
Staff member completing induction

First NameMiddle NameLast Name
Staff member position
Date signed by staff member

MonthDayYear
Date
Should be Empty:

Volunteer Registration & Induction Form

Volunteer Details

Emergency Contact Details

Volunteering Information

Health, Wellbeing & Support Needs

DBS and Safeguarding

Volunteer Agreement

Induction Checklist

Signatures