Date received
Outcome
Volunteer Application Form – Sova Orbit Mentoring
Applicant InformationTitle / First Name / Last Name / Year of
Birth
Street Address
Town/City / County / Postcode
Phone Landline / E-mail
Phone Mobile / National Insurance No
Two Tick
Sova is a ‘two tick’ disability employer and is positive about recruiting disabled people.
Do you consider yourself to be disabled or are you aware of any health problems that you consider to be relevant to your application? (i.e. Do you have a physical or mental impairment which has a substantial and long-term adverse effect on your ability to carry out day to day activities?)
If yes – please detail below an adjustments that will assist you in attending an interview or undertaking this post.
Yes / No
References[1]
Please give the names and addresses of two people who would be willing to give you a reference. They must have known you for at least 2 years, must not be related to you and one of your referees should ideally have known you in a professional capacity.
Referee 1 - Full Name / Relationship
Email / How long have they known you?
Phone No
Address
Referee 2 - Full Name / Relationship
Email / How long have they known you?
Phone No
Address
How did you hear about this type of voluntary work?
Leaflet or Poster / Volunteer Bureau
Newspaper / Word of mouth
Presentation by Sova / Work place
University / Other (please specify)
Sova website
How much time do you anticipate being able to offer to the project?
Please input how much time you are able to offer on a weekly basis, and for how long.
Sova Orbit Mentoring Project requires volunteers to provide a minimum of 2-4 hours per week for 6 months.
Availability for volunteering?
Please highlight which days you are available to carry out your volunteering duties. You can add further detail by inputting (M) for mornings; (A) for afternoons or (E) for evenings.
Monday / Saturday
Tuesday / Sunday
Wednesday / Any
Thursday / Other Information
Friday
Why do you want to volunteer for Sova and what do you feel you have to offer?
Do you have any previous experience working with a vulnerable client group?
Please describe your strengths and weaknesses in relation to this volunteering role.
What do you like doing in your spare time and what are your skills/hobbies/interests?
Current or most recent employment/education/voluntary work
Please give details of recent (within 3 years) employment, education or voluntary work that you feel is relevant to this role.
Position
Date started / Date finished
Duties
Position
Date started / Date finished
Duties
Position
Date started / Date finished
Duties
Position
Date started / Date finished
Duties
Data Protection
The information on this application form will be held securely (manually and on Sova’s database) and will not be divulged to anyone outside the organisation. We reserve the right to verify information you have provided and seek information from other sources.
Declaration
I declare that all the information provided on the application form, diversity monitoring from and criminal conviction self declaration form is correct. I understand that if I am recruited to become a Sova volunteer and the information I have provided is false, this post may be terminated.
Name:
Signature:
Date:
Returning your application form
Please return your completed application form and any additional sheets to the email address below. Please ensure that you sign your application if sending by post.
or to
Sova Orbit Mentoring
156 – 168 West Street
Erith
Kent
DA8 1AN
07545 301 428
Criminal convictions self declaration form
Do you have any cautions or criminal convictions spent or otherwise?At Sova we actively promote equality of opportunity for everyone. Having a criminal record will not necessarily bar you from becoming a Sova volunteer; it will depend on the role applied for and the nature of the offence(s). You must disclose, as part of your application, any cautions, convictions or pending court cases. If you would like to discuss any conviction you have before completing this form please contact Sova. Any discussion will be kept in strict confidence.
Yes / No
If you have ticked YES please provide further details below.
Offence / Details / Sentence/Date / What have you learnt from the experience / Faced with the same circumstances, what would you do differently?
Are you ISA barred?
Please note: An individual who is ISA barred will not be able to volunteer for Sova. Being ISA barred means an individual cannot work with children or vulnerable adults, and it is a criminal offence for an individual to attempt to do so. Sova would also be breaking the law if we recruit someone who is ISA barred.
Yes / No
[1] References will be sought after successful first interview only