Volunteer Application Form

Volunteer Application Form

Standard online volunteer application form based on the uploaded PDF. Please complete all fields you can; fields are optional unless the PDF clearly indicates otherwise.
Applicant Information
Title
Surname
First name(s)
Address & postcode
Telephone number

Area CodePhone Number
Mobile number
Please enter a valid phone number.Format: 00000000000.
Email address
example@example.com
Support, Experience, and Motivation
Do you have any support needs or health or wellbeing conditions we should be aware of?
Please describe any relevant experience, paid or unpaid, that could support the role
What skills and interests do you have that you could bring to the role?
How might a young person benefit from your support?
Can you think of three words that your friends or acquaintances might use to describe you?
Why would you like to be a befriender?
How did you hear about the befriending service?
Availability
Monday Morning
Monday Afternoon
Monday Evening
Tuesday Morning
Tuesday Afternoon
Tuesday Evening
Wednesday Morning
Wednesday Afternoon
Wednesday Evening
Thursday Morning
Thursday Afternoon
Thursday Evening
Friday Morning
Friday Afternoon
Friday Evening
Saturday Morning
Saturday Afternoon
Saturday Evening
Sunday Morning
Sunday Afternoon
Sunday Evening
Commitment and Suitability
Are you prepared to participate in befriender training?
Are you a driver prepared to use your own vehicle?
Are you a member of the PVG Scheme?
Can you commit 2-3 hours weekly or fortnightly once matched for a minimum of 6 months?
Referees
Referee 1 Name

First NameLast Name
Referee 1 Organisation
Referee 1 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Referee 1 Email Address
example@example.com
Referee 2 Name

First NameLast Name
Referee 2 Organisation
Referee 2 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Referee 2 Email Address
example@example.com
Declaration
Signature
Date

DayMonthYear
Date
Should be Empty:

Volunteer Application Form

Applicant Information

Support, Experience, and Motivation

Availability

Commitment and Suitability

Referees

Declaration