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Volunteer Application Form
Volunteer Application Form
Your Personal Details:
Title
-- Select an option --
Miss
Mrs
Ms
Mr
Dr
Other
If other, please specify
*
First Name
*
Surname
*
Preferred Pronouns (optional)
*
Date of Birth
*
Address line 1
*
Address line 2
*
Address line 3
*
Postcode
*
Your Contact Details
Home phone number
*
Mobile phone number
*
Preferred Phone Number
Home phone number
Mobile phone number
Email address
*
Emergency Contact Details:
Name
*
Relationship to you
*
Phone number
*
Volunteer Opportunities:
Please tick the services you wish to be considered for:
Befriending
Community Engagement
Digital Inclusion Programme (DIP)
Advice
Reception
Day Centre
If you have a preferred option from the list above, please tell us below. We will do our best to accommodate this, but it may not always be possible.
*
About Yourself:
Why are you interested in volunteering for us?
*
Have you done any voluntary work before?
*
What could you bring to Age UK Wandsworth?
*
Your Availability:
Please let us know the day(s) and time(s) you may be available to volunteer below (include weekends and evenings if relevant):
*
Please let us know of any other times when you would not be available (e.g. school holidays, exam periods, or other fixed commitments):
*
Where did you hear about volunteering with us?
Tick all that apply
Word of mouth
Age UK national website
Age UK Wandsworth website
Age UK Wandsworth staff/volunteer
Social media post
Poster campaign
Local library
Other
If other, please specify
*
References:
Reference 1:
*
Preferred Phone Number
*
Email address
*
Address:
*
How are they known to you?
*
Reference 2:
*
Preferred Phone Number
*
Email address
*
Address:
*
How are they known to you?
*
Criminal Offences and DBS Check:
Do you give your permission for Age UK Wandsworth to carry out this check?
Yes
No
Have you ever been convicted of a crime, cautioned, warned or reprimanded in the UK or in any other country, including all unspent convictions? (If you answer yes to this, we may contact you to discuss before submitting your DBS application)
Yes
No
Your Entitlement to Work or Volunteer
Communications & Consent
Do you consent to Age UK Wandsworth contacting you regarding your volunteering post?
Yes
No
Preferred method of communication
By phone
By email
By post
Do you consent to Age UK Wandsworth sending you other information about Age UK Wandsworth?
By email
By post
Equal Opportunities:
Do you identify as:
Male
Female
Self Identify
Prefer not to say
If you ticked 'Self Identify' please enter details here:
*
Age:
18-25
26-40
41-55
55-64
65 and over
Prefer not to say
Are you:
Employed
Unemployed
Retired
Student
Other
Prefer not to say
If you ticked 'Other' please enter details here:
*
Do you identify as a member of the LGBTQ+ community?
Yes
No
Prefer not to say
Prefer to self-describe
If you ticked 'self-describe' please enter details here:
*
Do you have a religious affiliation?
Yes
No
Prefer not to say
Prefer to self-describe
If you ticked 'yes' or 'self-describe' please enter more details here:
*
Do you have a disability?
Yes
No
Prefer not to say
If you answered 'yes' please share any details of how we can support you:
*
Ethnic Background:
White British
White Irish
White Gypsy or Irish Traveller
White Roma
Black British
Black African
Black Caribbean
Asian British
Asian Bangladeshi
Asian Chinese
Asian Indian
Asian Pakistani
Mixed White and Asian
Mixed White and Black African
Mixed White and Black Caribbean
Arab
Any other ethnic background (please specify below)
Prefer not to say
Any other ethnic background (please enter details below):
*
Declaration:
I give my consent for Age UK Wandsworth to store and process my information as per the declaration above, and declare that to the best of my knowledge the information provided on this form is correct. I will inform Age UK Wandsworth as soon as possible if anything changes.
I agree
I disagree
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