LPP Night Shelter Volunteer Application Form

LPP Night Shelter Volunteer Application Form
Your details
Title
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearMust be over 18
Full Name

First NameLast Name
Gender
Contact Number
Email Address
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Postcode
Emergency and Community Information
Next of Kin (Name and Relationship)
Next of Kin's contact number
Are you linked to a church community?
If yes, which church community?
Referees and Background

If you are linked with a church community, we recommend one of the references to be a church leader.
Referee 1 — Full name, telephone number and email address
Referee 2 — Full name, telephone number and email address
Medical conditions
Please give brief details of any medical conditions that you need to make us aware of: e.g. epilepsy, diabetes etc.
What session time are you interested in/ available for
Have you ever been convicted of a criminal offence?
If Yes, please give details of any criminal convictions (spent & unspent) including date, offence and sentence. Any information you provide will be kept separate and confidential.
Declaring a conviction will not necessarily mean you cannot volunteer with us however, if we later find that you failed to declare a conviction, this could lead to your volunteering being terminated.
Declarations and Submission
The information I have supplied in this application is correct and I am the person to whom it relates. I am happy for Light Project Peterborough to contact the referees I have identified. In accordance with the Data Protection Act 2018, the information you provide on this form will not be released to anyone who does not require it. We will continue to contact you by email and telephone regarding your volunteering activities. We need to do this to enable the projects to run effectively, update you on shifts for example. By signing below, you are giving your consent for us to do so.
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LPP Night Shelter Volunteer Application Form

Your details

Emergency and Community Information

Referees and Background

Declarations and Submission