Online volunteer form

Personal Details

Surname *

First Name(s) *

Title

Date of Birth *

Address (Including postcode) *

Telephone Number (Home)

Telephone Number (Mobile)

Email Address *

Are you registered disabled? No Yes

About You

Why do you want to volunteer with Age UK Plymouth? *

What volunteer role are you applying for? *

How did you hear about Age UK Plymouth volunteer opportunities? Age UK Plymouth website Indeed.com do-it.org Word of mouth Poster In one of the centres Google Other

Have you been a volunteer before?

If yes, please detail below *

If your volunteer application is successful, which DAYS and TIMES would you be available to volunteer?

Sunday *

Monday *

Tuesday *

Wednesday *

Thursday *

Friday *

Saturday *

Personal Statement

Please provide further details of any personal qualities, skills, experience and knowledge that you think would make you a ‘good volunteer’.

Skills, Knowledge & Experience *

Leisure Activities

What do you like to do in your spare time? *

References

Please give details of two referees not related to you. Volunteers cannot commence volunteering with the charity until two satisfactory references have been received.

Reference 1

Name *

Address *

Tel. Number *

Email Address *

In what capacity does this person know you? *

Reference 2

Name *

Address *

Tel. Number *

Email Address *

In what capacity does this person know you? *

Other Details

Do you hold a full and current driving license?

Have you any endorsements on your driving license?

If YES please give further details *

Do you consent to a DBS Disclosure being undertaken?

Do you know any member of Age UK Plymouth staff?

If YES please give the person's name and their relationship to you *

If you have been convicted of any offence, this MUST be disclosed (unless ‘spent’ under the Rehabilitation of Offenders Act, 1974). Failure to do so could result in the volunteer relationship with Age UK Plymouth being brought to an end.

Do you have any unspent convictions?

If YES, please give details *

Declaration

All the information I have given here is true and accurate. I consent to the use of all this information for considering my volunteer application, and understand that:

This is an application for a volunteer role
It will be treated confidentially at all times
If I am successful it will form part of my volunteer records
If I am unsuccessful the information will be destroyed after six months, unless you have authorised us to retain your details should a suitable vacancy become available in the future

I authorise Age UK Plymouth to retain my records Please tick

Full Name *

Date *

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