SOUTH LAKELAND CARERS

Unit 16,Shap Road Industrial Estate,
Kendal,LA9 6NZ

01539 815970

Volunteer Application Form

Personal Details
Title / First Names / Surname
Address / Home Telephone
Date of Birth
Postcode / Mobile / Email Address
Where did you hear about volunteering for South Lakeland Carers?
Why would you like to volunteer for South Lakeland Carers?
Which roles are you interested in volunteering for? For example: sitting service, administration, counselling, Young Carers, support groups.
Please give brief details of any previous paid or voluntary work you have done
Please describe any relevant skills or interests you have
Please give details of when and how often you would be available to volunteer. (e.g. “Monday mornings, weekly”)

Do you have a full, clean driving licence? Yes/No

If yes, do you have a vehicle you would be willing to use?Yes/No

Health
Do you suffer from any disability or significant illness? Yes/No
Please describe any specific support you would need to carry out volunteer work:
Referees
Please give details of 2 referees who have known you ideally for at least 2 years and who will be able to comment on your suitability in relation to the role description.
1. Name / 2. Name
Address / Address
Telephone Number / Telephone Number
Relationship to you / Relationship to you
Protecting Vulnerable People
We carry out an Enhanced Criminal Records Bureau check (CRB) on volunteers that will be working with children and vulnerable adults. The cost of the check will be covered by SLC. Having a criminal record will not necessarily mean that you cannot be a volunteer.
Have you ever been convicted of a criminal offence
or been given an official written caution? Yes/No
If yes, please give written details of all convictions and cautions, with dates, in an envelope marked ‘Private and Confidential’ and send with your application form to Kathy Collins.

Please return your form to: Kathy Collins, Volunteer Manager, South Lakeland Carers, Unit 16,Shap Road Industrial Estate,Kendal,LA9 6NZ

Thank you for taking the time to complete this form and we welcome your application. If you have any questions about this form or about volunteering for us please

telephone (01539) 815970 or email

SOUTH LAKELAND CARERS

5 Castle Street, Kendal,

LA9 7AD

01539 815970

Equal Opportunities Form

South Lakeland Carers has an equal opportunities policy. Our policy is to ensure that no applicant or volunteer is treated differently because of race, colour, nationality, gender, marital status, age or disability, or is disadvantaged by conditions or requirements which cannot be shown to be justified.

By monitoring some of the characteristics of people who apply to become volunteers with South Lakeland Carers we can see whether we are including all members of the community.

You do not have to fill this form in but it is helpful to us if you do. All information will be treated confidentially.

Please return this form with your completed application form.

ETHNICITY

I would describe myself as (please tick one):

White British / Mixed White and Black Caribbean
White Irish / Mixed White and Black African
White Other / Mixed White and Asian
Mixed Other
Asian or Asian British Indian / Black or Black British Caribbean
Asian or Asian British Pakistani / Black or Black British African
Asian or Asian British Bangladeshi / Black or Black British Other
Asian or Asian British Other
Chinese / Other

DISABILITY

I would describe myself as having a disabilityYes/No

Thank you for completing this form

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