Events Volunteer Application Form

Events Volunteer Application Form

Contact Information

Title (Mr/ Mrs/ Ms/ Miss): / Click here to enter text. /
Forename(s): / Click here to enter text. /
Surname: / Click here to enter text. /
Address: / Click here to enter text. /
Telephone: / Click here to enter text. /
Mobile: / Click here to enter text. /
Email: / Click here to enter text. /
In case of an emergency, who should we contact?
Name: / Click here to enter text. / Mobile: / Click here to enter text. /
Relationship to you: / Click here to enter text. / Home Telephone: / Click here to enter text. /

Employment

What is your current employment status?
Paid full-time employment / ☐ / Paid part-time employment / ☐ / Unemployed / ☐ /
Volunteer / ☐ / Retired / ☐ / Student / ☐

Education and Training

Do you have any qualifications or certificates which are suitable to this role? Please list below if necessary.

Click here to enter text.

Can you sign - British Sign Language?

Yes - Accredited / ☐ / Yes – non accredited / ☐ / No / ☐ /

Can you sign - Makaton?

Yes - Accredited / ☐ / Yes – non accredited / ☐ / No / ☐ /

Personal Profile

Why would you like to be a volunteer at Daytrippers?

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What skills, experiences and interests can you bring to Daytrippers?

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Do you have previous experience as a volunteer and/or working with children and young people with additional needs?Please provide examples.

Click here to enter text.

Availability

Pleasetick all possible days and times which you are available to volunteer.

Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday
AM / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ /
PM / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ /
EVE / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ / ☐ /

Referees

Please provide names of two referees who you know in a professional context, who are willing to act as referees and who can comment on your potential to work with children and young people.

Referee 1 / Referee 2
Name: / Click here to enter text. / Name: / Click here to enter text. /
Organisation: / Click here to enter text. / Organisation: / Click here to enter text. /
Telephone: / Click here to enter text. / Telephone: / Click here to enter text. /
Email: / Click here to enter text. / Email: / Click here to enter text. /

Disclosure and Barring Checks

Due of the nature of Daytrippers’ work, all volunteers must be checked by the Disclosure and Barring Service (DBS), to ensure that volunteers are suitable to work with vulnerable children and young people. You are therefore, required to declare any criminal convictions and pending prosecutions. Any information you supply will be treated in the strictest confidence.

Are you barred from working with children and young people? / YES ☐ / NO ☐
Have you ever been convicted of a criminal offence? / YES ☐ / NO ☐
Do you have any pending prosecutions? / YES ☐ / NO ☐

If yes, please supply details:

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Declaration

I declare that to the best of my knowledge, all statements contained in this form are correct. I understand that should I conceal any facts, my volunteer agreement may be terminated.

Signature: / Click here to enter text.
Date: / Click here to enter text. /

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