ST. HILDA'S EAST COMMUNITY CENTRE

18 CLUB ROW, LONDON E2 7EY

Telephone: 020 7739 8066

Hello!

Thank you for your interest in volunteering at St Hilda’s East Community Centre!

Please could you complete and return the enclosed application form. Once we have received your completed application form, you will be contacted for an informal interview to discuss the role.

If you are applying to volunteer with children or vulnerable adults, we will ask you to complete a DBS form after your initial interview. Please note that DBS forms can take two weeks or longer to process.

Thanks again and we look forward to hearing from you soon.


VOLUNTEER APPLICATION FORM

Name:
Address:
Date of birth:
Contact telephone number:
Email address:
Emergency contact:
Name:
Relationship to you:
Daytime telephone number:

We are currently offering A FREE TRAINING PROGRAMME for unemployed Tower Hamlets residents. Are you eligible and interested in taking part in taking part?

YesNo

1. Please tick the project(s) you are interested in volunteering with:

SonaliGardens Day Care Centre

Older People’s Project

Boys/Girls Youth Project

Surjamuki (disabled young people)

Crèche

Driver/Escort

Boundary Women’s Project

Bondhon Project

LinkAge Plus

Food Co-op

Advice Service

Reception

Other (please list)

2. Please briefly tell us why you are interested in volunteering at St. Hilda’s and what you hope to gain from volunteering with us:

3. What language(s) do you speak?

4. When are you available to volunteer?

Morning / Afternoon / Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

If you are applying for work experience, please state your preferred placement dates:

5. How did you hear about St Hilda’s East Community Centre?

6. We are required to ask the following information under the provision of the Children’s Act 1989.Have you ever been convicted of a criminal offence?

Yes / No

If yes, please give details:

We carry out police checks on anyone involved with working with children or vulnerable adults. The successful application of a volunteer will depend upon the results of these checks and references.

Volunteer Declaration:

I confirm that the information I have given above is accurate.

Signature: Date:

Please return this form to: Community Volunteering Coordinator

St Hilda’s East Community Centre

18 Club Row, London E2 7EY

Or email it to

MONITORING FORM

This monitoring form will be detached from your volunteer application, and the information will be used for monitoring purposes only.

  1. Sex
/
  1. Age

Male / Current age
Female / Do not wish to disclose
Do not wish to disclose
  1. Ethnic Group
/ Do not wish to disclose
White – British / Asian or Asian British – Indian
White – Irish / Asian or Asian British – Pakistani
White – any other White background
(please state): / Asian or Asian British – Bangladeshi
Mixed – White and Black Caribbean / Asian or Asian British – Any other Asian background (please state):
Mixed – White and Black African / Black or Black British – African
Mixed – White and Asian / Black or Black British – Caribbean
Mixed – Any other mixed background
(please state): / Black or Black British – Any other Black background (please state):
Chinese / Other ethnic group
(please state):
Do not wish to disclose
  1. Employment status

Employed full time (or self employed) / Sick/incapacity
Employed part time (or self employed) / Retired
Unemployed / Never worked
Student/training scheme / Other: please state
Primary carer / Do not wish to disclose
  1. Do you consider yourself to be disabled or to have any specific support needs?

Yes / Do not wish to disclose
No
  1. Previous involvement in volunteering

Have you previously volunteered for another organisation? / Yes No
If yes, was this during the last 12 months? / Yes No
REFERENCE REQUEST FORM

(Strictly Confidential)

Date:

St Hilda’s East Community Centre

Name of applicant:

Name of referee:

Occupation of referee:

St Hilda’s East Community Centre

In what capacity do you know the applicant?

St Hilda’s East Community Centre

Employer

Colleague

Teacher/Tutor

Friend

Other, (please specify)

St Hilda’s East Community Centre

Please tick if you think the applicant will be:

St Hilda’s East Community Centre

Reliable

Punctual

Trustworthy

Discreet

St Hilda’s East Community Centre

How do you think the applicant will be able to undertake the duties of the post and what other skills and abilities will the applicant bring to the post?

Signature Date

Company Stamp (if appropriate):

Please return this form to:

or post it to: Community Volunteering Coordinator

St Hilda’s East Community Centre

18 Club Row

London E2 7EY

Many thanks for your time and help!

St Hilda’s East Community Centre