Volunteer Application Form

(This information will not be made available to organisations other than Chapter)

To enable us to process your application as efficiently as possible please complete the form below and return to or post to the address below.

Surname / First Name
Address / Home phone
Daytime tel./mobile
Postcode / E-mail

Role(s) which you are applying for:

Availability

Approximate date you would like to start voluntary work:

Days you are available for voluntary work:

How long do you expect to be available for?

Please use this section to describe why you would be suitable for this role. Remember you can include details of any relevant training, qualifications, education and employment history in this section.

Please explain why you are applying for this role and what interests you in volunteering for Chapter:

Disability

Do you consider yourself to have a disability Yes No

If yes, please state if any assistance is required during the recruitment process.

Disclosure of Conviction(s)

Do you have any unspent criminal convictions?Yes No
If yes please give details: (declaration subject to the Rehabilitation of Offenders Act 1974)

REFERENCES

Please give the names, addresses and email addresses of two people who can supply references on your ability to volunteer. Please note that we contact references by email in the first instance.

May we approach them now? YES/NO
1. Name / 2. Name
Address / Address
Position / Position
Telephone / Telephone
E-mail / E-mail

EMERGENCY CONTACT

Name
Telephone
Relationship (e.g. father, mother, partner etc)

Please confirm that you are over 18 years of ageYes No

Data Protection

Chapter will always treat your personal details with care. All personal data that you choose to provide us with will be held securely and only ever used with your full permission. We will only ever get in touch in the ways that you wish, and we will make sure that everything we send to you is relevant to our programme, events, products, services and ways you can support us, such as fundraising activities and campaigns.

To read our full privacy statement, visit chapter.org/privacy

Make sure you’re in control of your information, and that you can ask us to stop using it whenever you like. If you have any questions, would like to change your preferences or opt out of communications, just call 029 2030 4400 or email

Completed applications should be e-mailed to (Word or Rich Text Format) or posted to: Cherry Bernstein, Volunteer Co-Ordinator, Chapter, Market Road, Cardiff CF5 1QE.