CONFIDENTIAL
Personal details: Please check and add or amend as necessary.Full Name / Male¨¨ Female¨¨
Address:
Postcode
Tel (day) / Tel (evening)
Mobile / Email
Are you able to attend the scheduled interview dates (see enclosed timetable)? / Yes¨¨ No ¨
Are you able to attend the scheduled training dates (see enclosed timetable? / Yes¨¨ No ¨
Motivation:
Please read the Role Description document and tell us why you are interested in this opportunity.
Person specification:
Please read the Person Specification on the Role Description. Please tell us about any personal qualities you have that make you suited to this role?
Skills and Experience
Please tell us about any experiences or skills you have that you can apply to this role. Please feel free to include any informal or personal experiences as well as any more formal employment or volunteering.
Personal development
The Volunteer Ambassador Scheme aims for volunteers to acquire experience or skills that will help them towards employment. Please tell us what you would hope to gain from this opportunity and about any personal goals that we may be able to help you with.
Availability
This role requires you to be available 16 hours per week from December 09 to June 2010, please indicate which days and times you would be available most weeks. Please also state if there are any times or periods when you would not be able to volunteer.
Criminal Records Bureau disclosure
We may require volunteers to undergo a Criminal Records Bureau disclosure. This establishes your identity and suitability for work where children will be present, such as in Children’s Centres. The processes are in accordance with legal requirements and good practice volunteering guidelines.
Are you willing to undergo a Criminal Records Bureau Check?
£ Yes
£ No
If you are concerned about any past convictions and whether they will affect your suitability for this role, please speak in confidence to the Volunteer Ambassador Scheme Coordinator, Joanna Botha on 07907 023 375.
References
Please provide the details of two people (not related to you) who can provide a reference for you, both should know you well and at least one should have known you for at least two years. They should be able to comment on how suited you will be to this role.
Reference 1
Full Name / Relationship to you
Address
Postcode POSTCODE
Tel (day) / Email
Reference 2
Full Name / Relationship to you
Address
Postcode POSTCODE
Tel (day) / Email
The information I have given is accurate, and I agree to it being held for the duration of the Volunteer Ambassador Scheme in accordance with the requirements of the Data Protection Act. I understand that submitting this form does not necessarily mean that I will be accepted as a volunteer.
Signature / Date
Please return this application by 9am Friday November 13th to:
Joanna Botha
Volunteer Ambassador Scheme Coordinator
OxfordshireFamilyMediation
125LondonRoad
Headington
Oxford
OX39HZ