ADDRESS
POST CODE / EMAIL
TELEPHONE / MOBILE
IS THERE A BETTER DAY/TIME TO CONTACT YOU?
AVAILABILITY
(eg 2 hours per week or every other Saturday evening)
DOB / ETHNICITY eg White British / GENDER
ARE YOU A SMOKER? / YES NO / DO YOU HAVE TRANSPORT? / YES NO
Please describe briefly why you are interested in becoming a volunteer:
Please list your hobbies and interests:
Please give details of any voluntary work you have done and any other community involvement:
Please give details of your current employment/ education status:
Employed: hours per week………………... Retired
In education: hours per week……………… Self-employed
Not in work at present
Do you have any issues which may affect volunteering?
REFEREESPlease give the names and addresses of two referees – not family members or friends
LAST NAME / 1ST NAME / TITLE
ADDRESS
POST CODE / EMAIL
TELEPHONE / MOBILE
RELATIONSHIP
eg previous employer or minister
Second Referee
LAST NAME / 1ST NAME / TITLE
ADDRESS
POST CODE / EMAIL
TELEPHONE / MOBILE
RELATIONSHIP
eg previous employer or minister
Please advise where you heard about this volunteering opportunity:
Do you have a current DBS? Yes No If yes please give details below
DBS number / Date issued
Organisation issued for
At Faithworks Wessex we feel it is important to keep people up to date on all our projects. One reason for doing this is to encourage new volunteers to become involved with our work and also for the purpose of applying for funding, to ensure we can support more people with the work we do.
One of the ways we do this is to take photographs of or film activities and events participated in by those we support and our volunteers. If you do not feel happy about photographs or media of yourself being used please ensure you make this known at the time.
I understand Faithworks’ media policy as highlighted above:
Signature…………………………………………………………………..Date……………………………
I understand that I will not receive payment for this volunteer work. That the voluntary work is confidential and that my name and address will be retained on a computer database in the Faithworks office. Ultimately we reserve the right to ask you to leave the scheme if we do not think this type of volunteer work is suitable for you.
Signature...... Date......
Please return this form to:
Faithworks Wessex, 154a Seabourne Road, Bournemouth, BH5 2JA
01202 429037