Volunteer Registration Form

Full Name*

Title

First

Last

Address*

Street Address *Street Address Line 2 Town / City *County *Postal Code

Are you aged 18 or over?*

Yes

No

(unfortunately, due to the size and structure of our organisation, we have limited volunteering opportunities if you are under 18)

Telephone Number*

Email Address*

Your Current Employment or Education Status*

Other Employment / Education Status Details*

Do you have any support and health needs?*

Yes

No

Please tell us more about any disability, health or extra support needs that we should be aware of when organising your volunteering. This could include allergy, illness, disability, phobia, dietary requirements etc.*

Volunteering

Please tell us why you would like to volunteer:

Please tell us about any skills and qualities you feel you can bring to our organisation:

When are you available to volunteer and much time can you spend volunteering?

Additional Information

Do you have a full driving licence?*

Yes

No

Do you have access to a car?*

Yes

No

Do you have any criminal convictions or cautions?*

Yes

No

Please provide more information about your criminal convictions or cautions.*

PLEASE NOTE: The right to volunteer can be dependent on your citizenship and UK immigration status so please make sure that you are permitted, under the terms of your visa, to volunteer. If in doubt, please contact the Home Office for further advice.

Are you permitted to volunteer in the UK?*

Yes

No

Unsure

How did you hear about volunteering at Gawsworth Hub?

Please provide the names and contact numbers of two people who would be able to recommend you as a volunteer. E.g. Neighbour, friend, work colleague, teacher.

These should not be close relatives.

Name of First Reference*

Title

First

Last

Your Relationship to First Reference*

First Reference Phone Number*

Name of Second Reference*

Title

First

Last

Second Reference Phone Number*

Your Relationship to Second Reference*

Data Protection. Should your registration be completed, we retain personal contact information so that you can be contacted in relation to the day-to-day operation of the Hub. This information will be stored electronically and password protected, to which only a few individuals have access (HR Coordinator, Shop Coordinator and Shop Supervisor, Community Activities Coordinator and Community Activities Manager). During Hub opening hours, a printed copy of emergency contact information only is accessible to employees and volunteers should it be required. At all other times it will be stored in a locked drawer. Email addresses will only be used to communicate with you on shop or hub business and will not be supplied to any third parties. By completing this form, you indicate your consent to us retaining this information. A copy of our data protection policy is available on request.

Before submitting your completed application, please acknowledge the following by ticking each box:

I understand the above statement.*

I confirm that information given on this form is, to the best of my knowledge, true and complete.*

I confirm that I am over the age of 18, or I have consent from my parent/guardian to complete this application.*

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