Volunteer Application Form

Please fill out the below form in order to register interest in becoming a volunteer.

Volunteering Interest

I am interested in:
(please tick at least one box)
 Appropriate Adults Accompanying Adults Befriending Mentoring


Personal Details

Surname (required):

Forename (required):

Address (required):

Postcode (required):

At least one method of contact must be provided:

Your Email:

Home contact number:

Mobile contact number:

Date of Birth (dd/mm/yyyy):
/ /

Are you registered as disabled?
 YES NO

Please give details of any health treatment received over the past three years and any factors relating to your health that might affect your performance as a volunteer:

Do you hold a current Driving Licence?
 YES NO

Do you have use of a car?
 YES NO


Employment Details

Please give details of employment starting with your current or, if not employed, most recent employer.

Please state:
Date employed from and to, Employer name, Job title/Nature of employment:

Please account for any breaks in employment:


Education Details

Please give details, with dates, of secondary and further/higher education, in-service training, etc. including any qualifications gained.


Relevant Experience

Please give details of your experience of working with young people/vulnerable adults, including voluntary work.


Supporting Statement

Please tell us why you would like to volunteer with your chosen project and any hobbies and interests relevant to the role.


Referees

Please give details of THREE people we may approach for a reference as to your suitability to become a volunteer. One should be your current or, if not employed, most recent employer.
(Please note: family members or partners may not be used as referees)

Referee 1

Name:

Designation:

Telephone:

Email:

Address:

In what capacity and for how long have you known the referee:


Referee 2

Name:

Designation:

Telephone:

Email:

Address:

In what capacity and for how long have you known the referee:


Referee 3

Name:

Designation:

Telephone:

Email:

Address:

In what capacity and for how long have you known the referee:


How did you hear about this volunteering opportunity?

Declaration

 I declare that the information given on this form and in any accompanying documentation is to the best of my knowledge and belief correct.

 I give my consent to the Youth Lives Foundation to process information and data relating to my application, including sensitive personal data, in line with the Data Protection Act 1998. This consent includes taking up references and obtaining an Enhanced Disclosure through the Criminal Records Bureau and a check with the Disclosure & Barring Service.

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