Volunteer Application Form

Personal Details

Full Name:

Date of birth:

Address:

Telephone (home):

Telephone (mobile):

Email address:

Are there any special arrangements we need to make for interview?

Where did you hear about us?

Do you own your own car and valid driving license?

Yes

If yes, are you willing to use the car for volunteering?

Yes

How many hours per week/month would you expect to be able to commit to the service?

Are you currently:

Employed

Unemployed

Full time education

Retired

References

Please give the names and contact information of two people who can give you references. This can be a current or previous employer, volunteer manager or any other responsible person. Your references will not be contacted until after the interview process.

Referee 1

Referee Name:

Address:

Contact number:

Email address:

Relationship to you:

How long have they known you?

Referee 2

Referee Name:

Address:

Contact number:

Email address:

Relationship to you:

How long have they known you?

Please tell us about any skills and/or experience that you have that is relevant to this role. These can be from current or previous employment, hobbies and interests or volunteering experiences. Please use the role description as a guide. Max word count 500 words. Word count: 0 words

Volunteer Conviction Declaration

Your role may place you in contact with vulnerable people. Current legislation allows us to ask some questions regarding any convictions, either spent or unspent, no matter how long ago they were.
Having a criminal conviction does not automatically prevent you from volunteering. We will consider information sensitively in line with legislation and the purpose of the role.
The information you provide will be strictly confidential and will be considered only in relation to the position you are applying for. It is our policy to confirm the below information by requesting a vetting and DBS check for all volunteers.

I confirm that I have NO spent or unspent convictions/cautions/reprimands, either in the UK or elsewhere I have spent and/or unspent convictions/cautions/reprimands, details of which are noted below:

Declaration

I can confirm that the above information, to the best of my knowledge, is accurate. I understand that failure to provide information that may influence the engagement decision will be viewed by the Office of the Police and Crime Commissioner as a serious matter. I understand that if I become a volunteer with the OPCC, I must advise them of any convictions recorded against me in the future.

Tick to confirm declaration.

Monitoring Form

(you do not have to complete this section to apply)

Gender:

Age:

Ethnicity:

Do you consider yourself to have a disability??

Yes

Sexual Orientation:

Religion:

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