Application Form for Volunteers

1992 to 2013

APPLICATION FORM

HELPLINEASSISTANT/ ADVOCACY VOLUNTEER

Please ensure that in completing this application form you refer to all the points of the Person Specification. You can use continuation sheets, and attach a C.V.

SECTION 1

Name:......

Address:......

Postcode:......

Telephone(Home)......

Telephone (Mobile)......

Telephone (Work)......

Email Address:......

Date of Birth:......

SECTION 2

Why do you want to Volunteer at Mosac?

......

SECTION 3

What do you think you can offer as a Volunteer on the Mosac helpline or advocacy team?

......

SECTION 4

Have you or your family every accessed Mosac services? Yes / No

Have you ever been cautioned or convicted for an offence? Yes / No

If YES, please give details:......

......

Is there any reason why you would not be comfortable undergoing an enhanced CRB check Yes / No

If yes, please indicate why:......

......

All information given on this form is confidential but may be discussed at your interview. A DBS check will be carried out after the interview process.

SECTION 5 Are you entitled to work in the UK? Yes / No

We will require you to bring along your passport to an interview. This will be photocopied for our records.

SECTION 6

Are you willing to attend monthly supervision / training sessions? Yes / No

The training programme laststen weeks and each session lasts four hours.

The next course will begin 25th September 2013. Please see enclosed timetable:

Are you able to attend 90% of the training course? Yes / No

Please state clearly your availabilty to work on the Helpline including day(s) and time(s), so that you can make a regular weekly commitment.

......

SECTION 7

Please tell us more about yourself.

Give details of any relevant experience, skills, abilities and any information which you think will be useful in volunteering at Mosac. This may include activities and previous voluntary experience. Please use continuation sheets if necessary:

......

SECTION 8

Please give names, email adderess, addresses, telephone and email of two persons from whom references may be sought with regard to your application. These should be line managers or people who know you well but not relatives. These references will not be sought until after a successful interview.

Name:......

Relationship:......

Address:......

......

Telephone:......

Email:......

Name:......

Relationship:......

Address:......

:......

Telephone:......

Email:......

DECLARATION

I declare that I have read the person specification and believe that the particulars set out in this application form are, to the best of my knowledge, true and correct.

Signed :......

Dated:......

Please complete and return this form by email ONLY to:

Ms. Niki Fayase (Training Manager)

Mosac

c/o The Deborah Ubee Trust

20, Egerton Drive, London, SE10 8JS

Office: 020 8293 8592