THE BRIGHTON OASIS PROJECT
Volunteer Helpline Worker for the
Sex Workers’ Outreach Project in Sussex (Unpaid)
APPLICATION FORM
Please complete the form clearly in black or type writing.
You may return this form
• By e-mail to
• By fax to 01273 697762
• By post to Lisette Whittaker, 11 Richmond Place, Brighton, BN2 9NA
Please note that all information provided on this form will be treated in confidence. However, information may be shared with other relevant staff at the project where necessary.
Name:
Address:
Postcode:
Telephone No:
Mobile:
E-mail:
Interests and Skills:
Skills:
Previous Voluntary/Work Experience:
Personal Motivations:
What interested you about volunteering for this project?
Have you ever had a drug or alcohol problem? Yes ✔️ No ✔️
BOP welcomes applications for volunteering from people who have recovered from drug or alcohol problems and will support people in their ongoing journeys of recovery.
If “Yes” please provide details:
Please provide details of an emergency contact:
Name:
Relationship to you (e.g. parent, partner):
Telephone number: Mobile:
Address:
Referees:
Please supply the names and contact details of two referees, one of whom should ideally be your current or most recent employer, college or school or where you undertook your last volunteer placement.
Name:
Address:
Email address:
Telephone Number:
Relationship to you:
______
Name:
Address:
Email address:
Telephone Number:
Relationship to you:
Disclosure and Barring Service (previously known as the Criminal Records Bureau Check):
We must advise you that in accordance with legal requirements and compliance with national standards, Brighton Oasis Project will make a decision as to whether a Disclosure and Barring Service (DBS) check is required based on the type of role that you will be volunteering for and the nature of the work that you would be doing. Should a DBS check be required this will be facilitated by BOP at no cost to you as a volunteer.
Criminal record declaration:
Do you have any cautions, convictions, reprimands or final warnings which are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)?
YES ✔️ NO ✔️
If you have answered yes, you now have two options on how to disclose your criminal record.
Option 1: Please provide details of your criminal record in the space below:
Option 2: You can disclose your record under a separate cover provided that you mark a cross on the line below and attach the details in an envelope stapled to this form. The envelope should be marked ‘Confidential’ and state your name and the details of the post you are applying for.
I have attached details of my conviction(s) separately ______(mark a X if appropriate)
Have you ever been the subject of any investigation/enquiry into inappropriate behaviour in relation to children, young people or vulnerable adults?
YES ✔️ NO ✔️
If yes, please provide details.
I declare that the information provided on this form is correct. I understand that the declaration of a criminal record will not necessarily prevent me from being offered a volunteering role at Brighton Oasis Project.
Signed:
Date:
Thank-you for taking the time to complete this form.
Brighton Oasis Project is committed to Equal Opportunities and strongly welcomes applications from all members of the community regardless of age, race, ethnic origin, gender, sexual orientation, religion or ability.
EQUAL OPPORTUNITIES (recruitment) MONITORING FORM
VOLUNTEERS
This section of the application form will be detached and used solely for monitoring purposes.
Brighton Oasis Project recognises and actively promotes the benefits of a diverse workforce and is committed to treating all employees with dignity and respect regardless of race, gender, disability, age, sexual orientation, religion or belief. We therefore welcome applications from all sections of the community.
Date of birth:
Gender
Please tick the box which describes you most closely:
Male
Female
Prefer not to say
Ethnicity
Ethnic origin categories are not about nationality, place of birth or citizenship. They are about the group to which you as an individual perceive you belong. Please indicate your ethnic origin by ticking the appropriate box below.
Arab – Middle Eastern
Arab – North African
Asian or Asian British – Bangladeshi
Asian or Asian British – Indian
Asian or Asian British – Pakistani
Black or Black British – African
Black or Black British – Caribbean
Chinese
Japanese
Latin American
Mixed – White and Asian
Mixed – White and Black African
Mixed – White and Caribbean
White – British
White – Irish
Prefer not to say
Other Asian Background
Other Black background
Other Ethnic background
Other Mixed background
Other White background
If any ‘other’ category ticked, please specify if you wish:
Sexual orientation
Please tick the box which describes you most closely:
Bisexual
Gay woman/lesbian
Gay man
Heterosexual/straight
Prefer not to say
Other
If ‘other’ category ticked, please specify if you wish:
Religion or belief
Please tick the boxes which describe you most closely:
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
No religion
Prefer not to say
Other
If ‘other’ category ticked, please specify if you wish:
Disability
The Equality Act 2010 defines disability as ‘A physical or mental impairment which has a substantial and long term adverse effect on a person’s ability to carry out normal day to day activities.’ Long term in this context means likely to last longer than 12 months or likely to recur. Please note that cancer, HIV and multiple sclerosis are covered by the Act from the point of diagnosis.
Do you have a disability as defined in the Equality Act 2010?
Yes
No
Prefer not to say
If yes, please state the nature of your disability or long term condition:
Recruitment - how did you hear about us?
Advertisement - please state where
Word of Mouth Course Tutor
Brighton and Hove Volunteer Bureau Another organisation
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