Thank you for considering becoming a volunteer at Lincoln Cathedral. As part of our duty of care we need to ask you some information about yourself. In common with many organisations that use the services of volunteers we do require references and depending upon your role, wemay need you to undertake a check conducted by the Disclosure Barring Service (DBS). The information you supply will be held on the Cathedral Database, it is confidential and covered by the Data Protection Act 1998. We welcome applications from people of all abilities, backgrounds and communities.

Section 1 : Personal Details

Surname / Title
Forenames
Address
Home Telephone / Mobile
Email

Section 2 : Emergency Contact Details Who should we contact in an emergency?

Name / Title
Relationship to you
Address
Home Telephone (H) / Mobile

Section 3 : The Volunteer Role

Please indicate the role(s) you might like to volunteer for here at LincolnCathedral

Please tell us why you would like to volunteer and if there are additional areas of volunteering

which appeal to you:

Section 5 : Health

Do you have any health problems or disability we should be aware of which may affect your day to day activities ?

If yes, please give detailsso we may accommodateyour needs where possible:

Section 6 : Referees

Please provide two independent referees who would be willing to supply a character reference:

Surname / Title
Forenames
Address
Home Telephone / Mobile
Email
Surname / Title
Forenames
Address
Home Telephone / Mobile
Email

Section 7: Declaration

CONFIDENTIAL DECLARATION FORM

This form is strictly confidential and will be seen only by those responsible for the appointment. All information declared on this form will be carefully assessed to decide whether it is relevant to the post applied for. This form will be destroyed if you are not recruited to the post. If you are recruited to the post this form will be kept securely under the terms of the Data Protection Act 1998.

If you answer ‘YES’ to any question please give details below, or on a separate sheet* giving the number of the question you are answering.

1. Do you have any convictions, cautions, reprimands or final warnings which would not be filtered in line with current guidance?

YESNO

2. Are you at present under investigation by the police or an employer for any offence in connection with financial issues?

YES NO

3. Do you have any other matters you would wish to bring to our attention in connection with your application for this post?

YESNO

I am over age 18 and have left school:

To the best of my knowledge and belief, the information supplied by me in each section of this form is correct. I agree that Lincoln Cathedral can hold and use the data on this form for the purpose of administering and supervising my work with the Cathedral.

Signed ...... Date ......

I am under age 18 and in school (to be signed by parent/guardian):

As parent/guardian I believe that, to the best of my knowledge and belief, the information supplied by the volunteer in each section of this form is correct. I agree that Lincoln Cathedral can hold and use the data on this form for the purpose of administering and supervising the volunteer’s work.

Signed ...... Date ......

Please return this form in an envelope marked CONFIDENTIAL to:

Mrs Rachel Woodward

Volunteer & HR Officer

The Chapter Office

4 Priorygate

Lincoln

LN2 1PL

March 2017