CONFIDENTIAL
VOLUNTEER APPLICATION FORM.
For Office Use Only Rec'd
Ref 1:......
Ref 2::......
App::......
Data Protection.In signing and returning this form you agree to Angling First Ltd holding your contact
details as part of a computer record. The information relating to you is available for inspection by you on
request to the Director of Development at 9, Rugby Avenue, Banbridge. BT 32 3NA. Angling First Ltd will
not share this information with any other agency, Angling First Ltd however may occasionally send mail to
you that might be of interest to you or other volunteers, if you do not wish to receive this mail please
indicate here [ ] .
Please complete this application form as accurately as possible. Omitting
details may delay the processing of your application.
What Days/Times are you available to Volunteer? Week Days / Weekends.
{please indicate}
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PERSONAL DETAILS
Surname: Title e.g.Mr/Mrs/Miss: Sex: Male[ ] Female[ ]
Marital Status: Single[ ] Married[ ] Separated[ ] Divorced[ ] Remarried[ ] Widowed[ ]
Full Forenames: Any Previous Surname{if applicable}:
Address:
Postcode:
Any Previous address in the last five years:
1.
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2.
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Phone Number: Mobile Number:......
E-Mail Address:......
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Date of Birth: Place of Birth {Town /City}:......
National Insurance Number:......
Occupation ......
CONFIDENTIAL.
Interests and Abilities
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Please outline any previous experience in working with children and any
angling experience you may have:
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Please underline the areas in which you would be able to help: Fund Raising
Activities{flag days/angling shows}, Setting Up Fishing Tackle, working with
young people and vulnerable adults.
Do you hold any related qualifications such as Child Protection Training, First
Aid, Risk Assessment. If so please enter details below:
:......
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Qualification: Date Obtained: / /
Medical Details:
yes/no?
Do you have any physical disabilities?
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Do you suffer from any illnesses? E.g Diabetes, Asthma,
Epilepsy
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Have you received treatment or counselling for depressive or
mental illness in the past three years?
{answering yes to this question won't necessarily prevent you
from being able to volunteer for the Charity}
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If you have answered yes to any of the above questions please give details
below including details of any treatment {plus dosage} that you are receiving.
Illness/ Condition: Treatment:
:......
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What is the year of your last tetanus injection / /
if you have any special dietary requirements {e.g. vegetarian, gluten free
etc?}please give details:
:......
Emergencies
Please give details of two people who we may contact in the event of an
emergency.
Name: Name::......
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Address: Address::......
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Postcode: Postcode::......
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Phone: Work......
MobilePhone: Work......
Mobile......
E-Mail: E-Mail......
Confidential.
Declaration
Have you ever been convicted of a criminal offence, been the subject of a
caution or of a Bound Over Order, or are at present the subject of criminal
charges?
If yes, please state the nature and the date{s} of the offence{s}. This may not
bar you from volunteering for Angling First Ltd.
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Because of the nature of the work for which you are applying you are advised
that under the provisions of the Rehabilitation of Offenders {NI} Order 1978 as
amended by the Rehabilitation of Offenders {Exceptions} {Amendment} Order
{NI}1987 you should declare all convictions including spent convictions.
I have read and agreed with the Angling First Ltd Code of Conduct/Child
Protection Policy and I further agree to uphold this policy at all times whilst
volunteering for the Charity.
I will attend, if at all possible, all the recommended training days and
courses organised by Angling First Ltd.
I give my consent to any confidential investigations Angling First Ltd may
undertake as part of their Child Protection Policy, including contact with the
police.
The information contained in this application is correct to the best of my
knowledge.
Signature:......
Date:......
Instructions for completing an application.
1. Complete this form as accurately as possible. N.B Omitting details may
delay the processing of your application form.
2. Ensure that both reference forms have been completed and enclosed.
3. Upon receipt of a completed application, a representative from Angling First
Ltd will contact you to arrange a meeting in order to complete an Access NI
Disclosure Form and what documents you will be required to produce.
Is your application complete? Yes or No?
I have completed the application form, answering all questions.
I have forwarded my reference forms to two nominated
referees asking them to return them direct to Angling First Ltd
using the S.A.E's provided.
Please return this completed application using the large brown S.A.E.
Unfortunately we cannot accept any application by e-mail.
Confidential Volunteer Reference Form
To be given to, and completed by, someone who knows you well but is NOT a
member of your family.
Name of Volunteer______Name of Referee______
Dear Referee
The person named on this form has applied to volunteer for Angling First Ltd. Serving as a volunteer for
Angling First Ltd can bring it's own pressures not experienced at home. Please complete this form as fully
and as honestly as possible bearing in mind that we are looking for volunteers:
·With an ability to work with children/young people or willingness to learn.
·With the capacity to work as part of a team under leadership and supervision.
Information you give regarding health, abilities or criminal convictions is considered highly important as it
may affect the applicant's suitability. We therefore ask that the referee gives absolute priority to the
safety and needs of the children and young people we are serving. We assure you that anything you
write will be treated as confidential.
Thank you for taking the time to complete the form, please return this form using the SAE provided as
soon as possible as the Charity is unable to complete the application process until all relative papers are
received. If you have any concerns please do not hesitate to contact me at the above address or by
E-Mail on : yours Mark McGivern-Director of Development.
1. How long how you known the applicant? ______
2. In what context do you know them? ______
3. What attributes does the applicant have that would make him or her a suitable
volunteer? ______
4. Describe his or her personality.______
5. Please rate the applicant on the following:
Poor Average Good V Good Excellent
Responsibility
General Maturity
Ability to motivate others
Commitment
Energy / Physical Health
Trustworthiness
Reliability
6. As part of the applicant's involvement with Angling First Ltd, volunteers will be
working closely with children. Is there any reason known to you why the applicant
should not be working in this environment? ______
7.Any further comments regarding the applicant that you consider it appropriate for
Angling First Ltd to know? ______
Signed______Date______
Please return this form using the envelope supplied. Thanking you in anticipation of
your co-operation.
Mark McGivern-Director of Development