WECIL Application for Voluntary Work

Private & Confidential

Personal Details

Full Name:

Date of Birth:

Address:

Postcode:

Telephone:(Mobile)

(Home)

Email:

Some formal questions we are required to ask:

  • Are you related to a member of staff or Management Committee member?

YESNO

If YES, please give details

______

  • Are you associated with any other charity or other relevant organisationworking with WECIL?

YESNO

If YES, please give details

______

Some questions which will help us to find the best volunteering opportunity for you:

  1. Please tell us how you would like to be involved with WECIL:

______

  1. Please tell us what you are hoping to gain from volunteering with WECIL:

______

  1. What approximate time commitment and availability Monday – Fridaycould you give?

______

______

  1. Please describe your employment history with a summary of your key responsibilities and the scope of the roles:

(If you have not been employed this will not exclude you from volunteering)

______

  1. Please give details of any professional skills, qualifications and/or memberships:

______

  1. Please give details of any voluntary work / interests/ community activity / family care / study / any other information which you feel is relevant to your application:

______

Criminal record declaration:

This page must be completed by all applicants. The information disclosed on this form will not be kept with your application form during the application process.

As WECIL meets the requirements in respect of exempted questions you are required to declare any convictions, cautions, reprimands and final warnings that are not filtered as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013).

WECIL recognises the contribution that former or ex-offenders can make as volunteers and welcome applications from them. A person’s criminal record will not, in itself, prevent a person from volunteering with us. Any information given will be treated in the strictest confidence.

Do you have any convictions, cautions, reprimands or final warnings which are not filtered 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 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.

I have attached details of my conviction separately_____ (Please mark with an X if appropriate.)

WECIL welcomes applicants of all abilities, and recognises the different skills each person brings. We aim to create a positive environment that enables all volunteers to realise their potential.

In order to support you in your role and to consider any appropriate adjustments to the volunteer environment which may be needed, please give any details of any disabilities, health issues or access requirements.

  1. Do you consider yourself to be a Disabled person?

YesNoPrefer not to say

Do you have any access requirements we should meet to offer you a fair interview? (e.g. wheelchair access, BSL interpretation, etc?)

YesNo

If yes, please give further details below

______

References:

Is there anyone who could provide a character reference for you?

(If not this will not exclude you from volunteering)

YesNo

If yes, please give the name, address and occupation of two referees.

  1. Name:

Occupation:

Relationship:

Address:

Telephone Number:

Email:

  1. Name:

Occupation:

Relationship:

Address:

Telephone Number:

Email:

Declaration

I declare the information given on this form is correct to the best of my knowledge.

Signed: Date:

Thank you for completing this form.

Please return this to us by post or email.

Send to:

Volunteer Coordinator, WECIL, Unit E, Link House, Britton Gardens, Kingswood, BS15 1TF

Email to:

(Put‘Volunteer Application’ in subject title).

Our Volunteer Coordinator will be in touch in due course to discuss your application. If you have any questions in the meantime, please feel free to contact WECIL reception on 01179 47 99 11 or

(June 2015) Page 1 of 5