Volunteer Details
Volunteer Details
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Date of Birth
-
Day
-
Month
Year
Tap/click the calendar icon to select
Your Address
*
Street Address
Street Address Line 2
City
County
Postcode
Your Telephone Number
*
Your Mobile Number
Email
*
example@example.com
References
Please give details of two people (one of which should be through a professional basis), who have known you for at least two years and who could provide an appropriate reference:
Referee 1 Details
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
County
Postcode
Telephone Number
*
Mobile Number
Email
example@example.com
Relationship to you
*
Referee 2 Details
*
Mr.
Mrs.
Miss.
Prefix
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
County
Postcode
Telephone Number
*
Mobile Number
Email
example@example.com
Relationship to you
*
Your special interests:
Please outline your special interests and any tasks that you would like to be involved with as a volunteer:
Personal statement:
Please use this space to outline what experience, through paid/voluntary work or your personal life you feel you could offer as a volunteer. Also in order to offer appropriate support in your voluntary work, please advise us of any health issues or medical conditions that you think may affect the type of voluntary work you can do:
Driving licence
Do you own a current Driving Licence?
*
Yes
No
Do you have any endorsements?
*
Yes
No
AS YOU WILL HAVE CONTACT WITH VULNERABLE CLIENTS , CERTAIN VOLUNTEER ROLES ARE CONSIDERED EXEMPT FROM THE PROVISION OF THE REHABILITATION OF OFFENDERS ACT 1974 AND ANY CONVICTIONS MUST BE DECLARED. YOU MUST DISCLOSE ALL PREVIOUS CONVICTIONS EVEN THOSE WHICH MAY BE CONSIDERED SPENT. BY SENDING THIS FORM YOU GIVE PERMISSION TO HAVE A DISCLOSURE CHECK CARRIED OUT:
Please tell us how you heard about the Elder Tree.
Word of Mouth
Website/Social Media
Walk In
Poster/Leaflet
Media/Newspaper/Television
Referral
Send form
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