28 Fitzalan Street, Glossop, Derbyshire, SK13 7DL
+44 1457 863534
Holiday Camp Volunteer Application Form 2017
1. Please complete this form carefully and fully, referring to the ‘Role of a Volunteer’ document.
2. The deadline for submitting your form is Monday 20th March and you will be informed by April 2ndwhether you have been accepted. (it is possible to apply after this date if spaces are still available)
3. Approximate Dates for this year will be:
Camp for children and young adults at Ptich Sanatorium
Group 1 Saturday July 29th (from Manchester) to Saturday August 12th (to Manchester)
Group 2 Saturday 12th August (from Manchester) to Wednesday 23rd August (to Gatwick)
Volunteers going to work in the institutions at Zhuravichi and Vikov (only suitable for people who have significant experience in working with people with disabilities)
Z Group 1 Saturday July 22nd to Saturday August 5th (to and from Manchester)
Z Group 2 Saturday August 5th to Saturday August 19th(to and from Manchester)
4. On acceptance you will need to attend a residential weekend near Buxton on April 1st and 2nd. This is compulsory (and fun!) for volunteers who have not been to Belarus before. Accommodation free but a small contribution to food welcome! More details online.
5. You must raise £450, plus gift aid,(or a minimum of £500 if it cannot be gift aided) to cover your flight and accommodation at the camp. If you can raise more than this, fantastic! The extra funds will be used to sponsor a holiday for a disabled young person living in an institution in Belarus.
6. Please note that this role requires you to possess a Disclosure and Barring Service (DBS) check and be registered on the Update Service or to apply for a new DBS check.
7. The details provided on this form will not be disclosed to any third party unless required to do so by law.
Contact detailsFull Name
Email address
Telephone No.
Mobile
Date of Birth
Address (term time)
Please indicate which address we should use for correspondence
Address (permanent)
Gender
Do you have any access requirement?
How did you find out about volunteering for CCP (UK)?
Occupation
Place of Work/Study
Position/Course
Experience
Have you volunteered at the Holiday Camp before? If so, when?
What experience do you have, paid or voluntary, which is relevant to this role?
Do you have any experience assisting people with personal care?
Do you feel this is something you might be prepared to do if given adequate training?
Aside from experience, what do you feel you could personally contribute to the children’s holiday andvolunteer team?
Do you speak any Russian? (this is not a prerequisite for the role)
Please tell us which holiday you are interested in and which dates you will be available?
Please give the names and contact details of two people who have known you for some time (not relatives) and are willing to act as referees. If possible, one should be from a place of work/study where you have volunteered. At least one should have had contact
in the last two years.
Health Declaration
For Health and Safety reasons, it is important that we do not assign you the wrong task. A disability or health problem does not exclude you from volunteering for us but to assess your suitability for this role we require information about your health.
Please describe here any special needs, disability, allergies or other physical or mental health matters that may affect your ability to work as a volunteer that we should be aware of.
Next of Kin
Name
Relationship to you
Address
Telephone number
Signed
Date
If you wish to add any additional information which may be relevant, please do so below or on a separate sheet. Applications should be returned by post or email to:
Linda Walker, Chernobyl Children’s Project (UK), 28 FitzalanSt, Glossop, Derbyshire, SK13 7DL
07976 653610 / 01457 863534
Chernobyl Children’s Project (UK) is a Registered Charity No. 1059832, and a non profit making company, limited by guarantee.
Registration No. 322045 (England and Wales). Registered office: Kinder House, Fitzalan Street, Glossop, Derbyshire, SK13 7DL