Please complete this application form and return it to:

or by post to: Catherine Waters, Solas, Floor 4, Exchange House, High Street, NP20 1AA

We encourage applications from people with disabilities. Please contact us if you require this form in an alternative format.

1. PERSONAL DETAILS
Surname: / First Name(s):
Home Address: / Home Tel No.:
Mobile No:
Email Address:
Have you worked in the POBL Group within the last 12 months? / Yes/No
Do you have a current driving licence? / Yes/No
2. VOLUNTEERING
What kind of Volunteer placement would you be interested in?
What days would you be available to offer your time as a volunteer?
How many hours are you able to offer each week?
What geographical areas would you like to volunteer in?
Are you volunteering for a specific reason? If yes, what is the reason?
3. PREVIOUS EXPERIENCE
Have you done any volunteer work before? If yes, when and what did you do?
What attracts you to volunteering with us?
Relevant Experience: please detail any relevant education, training, employment or voluntary skills, experience or knowledge to support your application. Please use an extra sheet if necessary.
4. A BIT ABOUT YOU
Please use this space below to tell us a little bit more about you; your hobbies, interests, what you enjoy doing etc
5. REFERENCES
Please provide details of 1 person we can contact, preferably one from a recent work setting, either paid or voluntary, to support your application. If you have no work experience please provide a personal reference. This can not be a family member
Current/Most recent employer
Line Manager:
Line Manager’s Job Title:
Company Name & Address:
Tel No:
Email:

6. REHABILITATION OF OFFENDERS

Please complete this section if the volunteering post you are applying for has been advertised as requiring a Disclosure obtained via the Disclosure and Barring Service. If you are unsure, please contact the HR Team on 01633 233842.
During your time volunteering with Pobl you may come into contact with vulnerable adults and/or children. We may therefore be required to undertake a disclosure check through the Disclosure and Barring Service. Telling us about a previous conviction or caution does not necessarily mean that you will not be appointed.
You must disclose any criminal convictions, bind over orders, cautions or charges pending, whether current or ‘spent’. (Rehabilitation of Offenders Act, 1974 (Exceptions) Order 1975).

Details of Convictions (If none, write none. Continue on a separate sheet if necessary.)

Type of Offence / Date / Outcome

Please note that failure to make a necessary disclosure, or giving information which is later found to be false, could result in the volunteering arrangement being cancelled.

DATA PROTECTION STATEMENT
Please read this statement carefully as it provides information regarding the processing of sensitive personal data.
The information you have provided on this form and obtained through other relevant sources will be used to process you application to join our volunteer team. It may be shared with other members of the Pobl Group. It will be used to process your application and to share relevant information with you about the Pobl Group. We may also use the information if there is a complaint or legal challenge relevant to this recruitment process or your employment.
We may check the information with third parties, or with other information held by us. We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other way as permitted by law.
Information is collected lawfully and in accordance with the Data Protection Act 1998 and the Group will do its best to ensure your details are accurate and kept up to date. By signing the application form you are consenting to the Pobl Group Ltd, processing your sensitive personal data (as described above), in accordance with our registration with the Information Commissioner.
7. PERSONAL DECLARATION
To the best of my knowledge and belief, the information contained in this form is true. I confirm that I have read and understood the Data Protection Statement.
If returning electronically, please tick this box to indicate your consent to the above.
(If this form is submitted electronically, you will asked to sign this declaration at the interview stage)
Signature: / Date: