Children’s Bereavement Centre

Office and Community Volunteer Application Form

All our volunteer opportunities are open to applicants aged 16 or over

If you have any difficulty in completing this form, please contact us on 01636 551739 or email

Personal Information
Mr/Mrs/Miss/Ms/Dr/Other
Name: / Email address:
Home address:
Postcode: / Home telephone:
Mobile number/Alternative phone:
Date of application:
Volunteer Interests
Please tick any areas below that you are interested in.
Volunteers at our Newark Centre
q Reception / Administration
q Service Support Administrator
q Fundraising Assistant
q Social Media Co-ordinator
q Handy Person
To work directly with children, young people and their parents/carers visit our website for full details and how to apply. / Volunteer in your Community
q Collection Box Co-ordinator
q Charity Ambassador
q Event Helpers
q Fundraising Group Member
q Member of Board of Trustees or Expert
Advisor
Other Skills and Interests
Please indicate if you have any other skills, qualifications or areas of expertise that you have gained through previous employment, other voluntary work or hobbies and interests that you feel might be helpful to us.
Please continue on an additional sheet or provide a CV.
Volunteering Hours
Please tell us when you are available. Please tick the relevant times that apply:
Monday
q Morning
q Afternoon
q Evening / Tuesday
q Morning
q Afternoon
q Evening / Wednesday
q Morning
q Afternoon
q Evening / Thursday
q Morning
q Afternoon
q Evening / Friday
q Morning
q Afternoon
q Evening
Saturday
q Morning
q Afternoon
q Evening / Sunday
q Morning
q Afternoon
q Evening / q Other (Please Specify)
Frequency
q Weekly q Monthly q Adhoc q Other (please specify)
______
When would you be available to start?
By completing the above form, I;
·  Certify that to the best of my knowledge the information given in this application is factually correct and I have not knowingly withheld information that may be detrimental to the charity.
·  Understand that any false information may result in me being asked to stop volunteering for the Children’s Bereavement Centre.
·  Agree that any information contained in this form may be confirmed in whatever manner is considered necessary, if I am accepted as a Volunteer.
·  I understand that no contract exists between myself and the Children’s Bereavement Centre.

Note:

A standard or enhanced DBS check and references maybe required, dependent on the role. This will be discussed with you before a volunteer role is offered/accepted.

Any personal data entered on this form will be held in confidence.

Children’s Bereavement Centre, 3 Kings Road, Newark, NG24 1EW

Tel: 01636 551739 Email:

Charity Registration Number: 1098935