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Confidential

Volunteerenrolmentform

Hampshire Fire and Rescue Service pursues a policy of equality of opportunity.

Personal details

Name: / Mobile no:
Tel no:
Address: / E-Mail address:
Are you over 18?
Yes No
Preferred title: Mr/Mrs/Miss/Ms/Other ______
National Insurance number
Are there any restrictions to your residence in the UK which might affect your right to take up a volunteer role in the UK? / Yes / No
If yes, please provide details:
Please advise how you first heard about volunteering opportunities with Hampshire Fire and Rescue Service.
Please explain why you are interested in becoming a volunteer for Hampshire Fire and Rescue Service and what type of voluntary role you would like to undertake eg. delivering safety messages to communities, a particular interest in working with youth or older people,etc
What skills (e.g.communication, organisational, etc) and experiences (paid or voluntary) do you have that may help you in a role as a Volunteer? Please provide short, clear examples and use a separate sheet of paper if you need more space.
Could you provide information on your additional interests (such as any leisure activities and hobbies)
Could you please provide some information on your current and any previous employment (if relevant)
Employer’s Name and type of Business / Post Held and Key Responsibilities
Declaration of offences
You are required to declare any convictions for offences that are not spent under the Rehabilitation of Offenders Act 1974. These include offences dealt with by a Court of Law, HM Services disciplinary procedures and any driving offences. Declaring an offence does not automatically mean you will be unable to volunteer.
Are you currently subject to any criminal conviction which is not yet spent under the Rehabilitation of Offenders Act 1974? Yes No
Offence: ______Date of Conviction: ______
Judgement and sentence: ______
Give deals of any charges pending: ______
______
______
Could you give an indication of your availability
Number of hours per week ______Days/evenings/weekends ______
Can you commit to a regular weekly time? _____ If so, which day of the week? ______
Would you be prepared to travel if required? Please indicate (by a tick √)

Yes No

Character references

Please give details below of at least one person who can provide information that will confirm your suitability as a volunteer. For example, this could be a current or previous employer, a teacher a family friend, your doctor, your community or church leader but if you are in work or have been employed, one of your nominated referees should be your current or most recent employer. You may not use relatives as referees. We can provide translation services if required.

Should you have any difficulty in providing contact details for a character referee then please contact Lee Joss on Tel : 02380 644 000 ext 4003 to discuss this in further detail.

Name
Position
Address
Post code
Daytime telno / Email
Name
Position
Address
Post code
Daytime telno / Email

Declaration

I declare that the information given in this form is true to the best of my knowledge and I agree to the information in this form being stored for the purposes of my application in accordance with the Data Protection Act.
Signed:______
Date: ______

Please return your completed application form to The Volunteer Coordinator, Hampshire Fire and Rescue Service HQ, Leigh Road, Eastleigh, Hampshire, SO50 9SJ

Policy statements

Fairness and Dignity at Work

Hampshire Fire and Rescue Service believes that all employees should be treated with the utmost dignity and respect and they should be partners in accomplishing our goals and sharing in our successes. Hampshire Fire and Rescue Service is totally committed to providing an environment which eliminates all forms of discrimination and which actively promotes productive workplace partnerships based on the unique contributions of different individuals in all its operations. Any kind of bullying or harassment of our employees, service recipients, contractors, members of the public and elected members on account of their race, gender, disability, religious belief, sexual orientation or any other personal characteristics or aspect of a persons private life will not be tolerated.

Disability

Hampshire Fire and Rescue Service is committed to pursuing a policy of equal opportunity for people with disabilities. We are working towards better employment practices to ensure applicants with disabilities receive full and fair consideration for all types of vacancies as well as for training, career development and promotion. Whenever possible Hampshire Fire and Rescue Service will retain the services of an employee who becomes disabled: where necessary providing retraining and redeployment.

HIV/AIDS

Hampshire Fire and Rescue Service believes that because the risks of infection in ordinary working contacts are so low, no employee or prospective employee should be required to undertake any HIV antibody test. No individual will be required to declare whether they have HIV infection or AIDS, nor need any person known to be living with someone who has HIV infection or AIDS be isolated or sent home.

No Smoking Policy

Hampshire Fire and Rescue Service has a smoke free area policy in all its premises and vehicles.

Violence and aggression at work

Hampshire Fire and Rescue Service is committed to reducing the risk of its employees from acts of violence and aggression. It fully accepts the responsibility to endeavour to reduce the risks to staff by introducing preventative and protective measures, by issuing clear guidelines and by developing the ability of employees to anticipate violence and aggression, and dealing with violent and aggressive incidents.

Data Protection Act 1998

Information recorded on this form may be used in computerised records. Under the terms of the Data Protection Act 1998 this information will be treated in a secure and confidential manner.

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