This Template Is for an Organisationto Adapt Or Develop to Meet Its Needs

This template is for an organisationto adapt or develop to meet its needs.

Sample volunteer application form

Volunteering opportunity applied for:
Contact Details
Mr/Mrs/Ms/other: / Address:
First name(s):
Last name:
Landline:
Mobile: / Postcode:
Email address:
When would you be available for voluntary work?
Please tick all that apply
Monday / Tuesday / Wednesday / Thursday / Friday
Morning:
Afternoon:
Evening:
How many hours per week would you be able to volunteer?
For roles involving driving:
Do you have use of a car? Yes No
If yes, would you be willing to use your car to help carry out your voluntary work?
Yes No
Not having access to a car will not exclude you from being considered as a volunteer.
Please tell us about any voluntary work, paid work or educational experience you have that may be relevant to the role you are applying for.
What do you hope to gain from being a volunteer?
Rehabilitation of Offenders Act 1974
Have you ever been convicted of a criminal offence or subjected to a caution, reprimand or warning under the Rehabilitation of Offenders Act 1974?
Yes No
If youhave ticked yes, please summarise below:
Having a conviction will not necessarily stop you from volunteering, but will need to be considered when assessing your suitability for the role you have applied for.
Please note: DBS Checks
All volunteers whose role involves contact with young people or vulnerable/protected adults will need to complete a Disclosure and Barring Service check prior to starting the volunteer role.
References
Please give details of two people who have known you for at least 1 year. This could be a current/former employer/tutor or someone who knows you well but is not a member of your family.
Referee 1 / Referee 2
Name: / Name:
Address: / Address:
Postcode: / Postcode:
Telephone: / Telephone:
Email: / Email:
Relationship to you: / Relationship to you:
Declaration
I confirm that, to the best of my knowledge, the information given on this form is correct.
Signed: / Date:
Data Protection
Your details will be kept in accordance with the Data Protection Act 1998/2003. They will be held securely and confidentially. [Organisation’s name]will not use any of the information you give us without your permission.
In the course of providing you with support we may need to refer you to outside organisations but this will not be done without discussing the reasons with you beforehand.
If you disclose information to us that could raise safeguarding or security issues, we may be obliged to contact the relevant authorities and/or public agencies.
Under the Data Protection Act, you are entitled to apply to us in writing for a copy of the information we hold about you. If you would like more information about data protection in general, please contact the Information Commissioner’s Office: 0131 244 9001 or visit their website at: If you have any concerns or queries about the information [Organisation’s name] collects about you, please contact our Information and Communications Officer by calling XXXXXX, or by emailing ______@______
Please sign below to indicate that you understand the information given here on the protection of your data:
I confirm that I understand the above Data Protection statement and agree to its terms:
Signed: / Date:
Information about Visas
If you are from the European Union, you are free to volunteer in the UK. For those from outside the EU, you will need to check that your visa allows you to volunteer.
For more information, visit the UK Visas and Immigration Agency website at:
Please return this form to:
Name
Organisation
Address
Postcode
Or by email to ______@______