Thank you for deciding to register as a volunteer. So that we can offer you support and advice please take a few minutes to complete this registration document. If you are unsure about any part of this document please ask for advice or assistance.

VCA Sunderland, 8 Frederick Street, Sunderland SR1 1NA.

Telephone 0191 565 1566 E-mail:

Title First Name Last Name

Street Address

City County Postcode Country

Geographical Area

Sunderland East / Washington East
Sunderland North / Washington North
Sunderland West / Washington West
Coalfield Area of Sunderland / Washington South
Washington Central

Telephone Number Mobile

Email address

Date of Birth

How did you hear of VCAS Volunteer Centre

Areas of Interest

Health & Safety
/ Marketing & Communications / Media / I.T.
Legal / Retail / Education / Museums
Heritage / Literacy / Libraries / Environment
Animals / Wildlife / Conservation / Festivals
Performance / Drama / Sport / Craft
Music / Art / Film / Public Events
Recreation / Poverty / Disaster Relief / Unemployed
International Aid / Emergency
Services / Food Bank / Refugees
Homeless / Crisis Support / Housing / Hunger
Women / Men / LGBT / Faith
Race & Ethnicity / Immigrants / Justice / Politics
Civil Rights / Ex-Offenders / Victim Support / Human Rights
Domestic
Violence / Prisoners / Crime / Veterans
& Armed Forces
Addiction / Social Care / Disability / Hospices
Mental Health / Medicine / Older People / Families
Young People / Children / Digital / Special
Education
Numeracy / Higher Education / Climate Change / Athletics
Badminton / Boxing / Cricket / Cycling
Exercise,
Movement & Dance / Football / Gym / Rugby
Swimming / Tennis / Running / Learning Disability

Skills

Design / Craft / Photography / Creative
Building work / Carpentry / Catering / Cleaning &
Tidying
Outdoor work / Leadership / Teamwork / Managing
People
Governance / Organising / Web design / Electronics
I.T. / Reading &
Writing / Reasoning / Maths
Talking to others / Counselling / Listening / Negotiating
Research

Details of voluntary or past work

Availability

Please tick each box when you are available to volunteer

All
/ Mon / Tue / Wed / Thu / Fri / Sat / Sun
AM
PM
EVE

Personal Details

Gender / Age / Employment Status

Which ethnic group do you feel you belong to?

White British (English)

White British (Scottish)

White British (Welsh)

White Irish

Other White Background

White and Black Caribbean

White and Black African

White and Asian

Other Mixed Background

Indian

Pakistan

Bangladeshi

Other Asian Background

Black Caribbean

Black African

Other Black Background

Chinese

Any other background

Nationality: ______

Religion______

Are you registered disabled?

Yes

No

Self-Classified

What is your current employment status?

Employed

House person

Non employed

Retired

Student

Unable to work (legal status)

Unemployed and seeking work

If you can drive what license type do you hold?

Car Automatic

Car Full

Car Provisional

HGV – Class 1

HGV Class 2

HGV Class 3

Motorcycle

PSV/Coach

Time Commitment

Full Time / Part Time / Short Term

Preferred Communication Methods

Phone / Email / Post / SMS / Fax

Activities

Stewarding / Policing / Gardening / Construction
First Aid / DIY/Odd
Jobs / Design / Outdoors
Catering / Financial
Control / Management / Interpretation
Accountancy / Translation / Business
Development / Trusteeship
Marketing & Communications / Fundraising / Campaigning / Social Media
Retail / Driving / Legal Work / Lobbying
Administration

FORM COMPLETION INFORMATION

Before signing this form it is important that you review what has been provided and ensure that the information is accurate and complete.

This information is true to the best of my knowledge. I give permission for this information to be held confidentially and to be used only for placement of volunteering and statistical purposes.

I agree to my details being kept on computer and used appropriately.

Signed:______Date:______