2015 European Wheelchair Basketball Championships

Volunteer Application Form

Thank you for your interestin volunteeringat the 2015 European Wheelchair Basketball Championships. Please note this form should be completed in full.

We will treat the information you provide as private and confidential.

Email completed applications to:

The closing date for applications is Sunday 26th July 2015.

Personal Details
Last name: / First name:
Address:
Postcode:
Date of Birth(You must be aged 14 or over to apply for positions):
Telephone number (Include parent or guardians if under 18):
Day: Evening:
Email Address:
*Include parent or guardians if under 18
Role group applied for
1st choice: 2nd choice:
Do you hold a full clean driving licence?
Yes ☐ No ☐
Are you available to attend a compulsory volunteer training session on Wednesday 5th August (evening) or Saturday 8th August in Worcester?
Wednesday5th☐ Saturday 8th ☐
Do you have any special requirements?
Include food allergies, access requirements and any other reasonable adjustments that would need to be made.
T-shirt/hoody size:
Small (34-36”) / ☐ /
Medium (38-40”) / ☐ /
Large (42-44”) / ☐ /
XL (46-48”) / ☐ /
XXL (50-52”) / ☐ /
Please list any relevant qualifications and CPD/training attended
Date of qualification / Level / Description
Please give your reasons for making this application. Include any experience or personal attributes which you feel would be relevant to the role applied for.
Availability
Please indicate dates on which you are available.
Session times are approximate and may change slightly.
Wed 26th Aug / Thu 27th Aug / Fri 28th Aug / Sat 29th Aug / Sun 30th Aug / Mon 31st Aug / Tue 1st Sep / Wed 2nd Sep / Thu 3rd Sep / Fri 4th Sep / Sat 5th Sep / Sun 6th Sep
7am-3pm / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ /
2.30pm-10.30pm / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ /
Rehabilitation of offenders act 1974
BWB aims to promote equality of opportunity for all applicants with the right mix of skill and potential. We welcome application from a diverse and representative population. If you have a conviction this will not necessarily bar you from consideration for the role. Each case is looked at on its particular circumstance and background.
Please note that the position for which you are applying involves unsupervised access to children, young persons and/or vulnerable members of society. Therefore, applicants who are offered employment may be subject to a criminal record check from the Disclosure and Barring Service (DBS) before the appointment is confirmed. This will include details of any cautions, reprimands or final warnings as well as any convictions.
Have you ever been convicted of any criminal offence?
Yes ☐ No ☐
If yes, please give details of the conviction(s) and the date(s) on a separate sheet and attach it to this form.
Failure to disclose criminal offences, whether spent or current, could either lead to your application being rejected or if you were to be appointed then it could lead to your summary dismissal. If you are unsure about whether to disclose a conviction, please seek the advice of the Chief Executive (01509 279900).
References
Name:
Address:
Telephone:
Relationship to you: / Name:
Address:
Telephone:
Relationship to you:
Data Protection Statement
BWB will process the personal information provided by you in the application form, and any other personal information provided by you now or in the future, in accordance with the Data Protection Act 1998, to assist us in considering your application for the voluntary post.
For selection purposes, your personal information will be considered by our selection panel and, where appropriate, relevant managers of the organisation. However, none of the sensitive information, e.g. ethnicity or criminal record (if any) included in this application form will be provided to the managers during the selection process (except where necessary to enable us to make arrangements for you to attend interviews). Any appointment will be subject to references and if necessary a DBS check.
Declaration
I declare that to the best of my knowledge and belief all the statements and information given in this form are true and complete, and that I have not withheld any material fact. I understand that any appointment will be made on the basis that the information given on this form is true and correct. I understand that if I have failed to disclose information, or have given incorrect information this may result in an offer of appointment being withdrawn, or in disciplinary action or summary dismissal at a later date.
I have read and understood the Data Protection statement and consent to BWB processing my personal information as described in that section.
Signature______
Date______

EQUALITY MONITORING

BWB is committed to making our services accessible to all. This will be accomplished by upholding the principles of equality in all aspects of our work. We will audit and monitor our business activities regularly, and take appropriate steps if it appears that our commitment to equality is not being delivered effectively.

Your cooperation in helping us to gather this monitoring information will greatly aid our efforts to ensure that all staff (paid and unpaid) / board / ambassadors/ service users are treated fairly regardless of age, race, disability, sex, sexual orientation, religion or belief, gender reassignment, marital status or civil partnership and those on maternity.

Without this data, it will not be possible to identify any current areas of under-representation or potential inequalities, and as such, it will make it much more difficult for us to tackle these issues.

This work is being carried out as part of our responsibilities under the Equality Act 2010 and as part of the accreditation process for the Equality Standard for Sport.

Responses will be treated in the strictest confidence, in line with the principles of the Data Protection Act 1998.

Name:
Position applied for:
Date of birth:
Nationality:
Do you need permission to work in the UK?
Yes ☐ No ☐

Caring Responsibility

Are you the primary caregiver to a child or children, or other dependents including disabled, elderly or sick adults?

Description / Tick / Description / Tick
Yes / No
I would prefer not to answer this question

Disability

The Equality Act 2010 defines disability as:

“A person has a disability if she/he has a physical or mental impairment which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities.”

Do you consider yourself to be disabled?

Description / Tick / Description / Tick
Yes / No
I would prefer not to answer this question

If so, please identify the nature of your disability:

Description / Tick / Description / Tick
Auditory impairment or partial hearing loss / Mental health condition
Visual impairment or partial sight loss / Long term illness
Learning Disability / Other – Please write
Developmental disorder
Physical disability
I would prefer not to answer this question

Ethnic Group - Please indicate your ethnic group by ticking one of the boxes below

White
Tick / Tick
Scottish / Welsh
Irish / English
Other British / Gypsy Traveller
Polish / Any other white ethic group, please write in:
Mixed or multiple ethnic origin, please write in
Asian, or Asian British
Tick / Tick
Pakistani or Pakistani British / Indian or Indian British
Bangladeshi or Bangladeshi British / Chinese or Chinese British
Other, please write in:
African
Tick / Tick
African or African British / Other, please write in
Caribbean or Black
Tick / Tick
Caribbean or Caribbean British / Black or Black British
Other, please write in:
Other Ethnic Group
Tick / Tick
Arab or Arab British / Other, please write in:
I would prefer not to answer this question

Religion or belief

What religion, religious denomination or body do you belong to:

Description / Tick / Description / Tick
None / Church of England
Roman Catholic / Other Christian, please write in
Muslim / Buddhist
Sikh / Jewish
Hindu / Other religion or body, please write in
I would prefer not to answer this question

How would you identify your gender?

Gender
Tick / Tick
Male / Female
I would prefer not to answer this question

Have you ever been identified as transgender?

Transgender
Tick / Tick
Yes / No
I would prefer not to answer this question

Sexual orientation:

Sexual Orientation
Tick / Tick
Bisexual / Gay Man
Gay Woman/Lesbian / Heterosexual/Straight
Other please write in
I would prefer not to answer this question

Additional Information – You may want to indicate whether you represent any of the following characteristics

Additional Information
Tick / Tick
Marriage and Civil partnership / Maternity
Pregnancy and breastfeeding status