The Willow Centre

4 Chamber of Commerce Buildings, Panmure Street,

Dundee DD1 1EP

Tel: 01382 227288

Email:

Dear Volunteer,

Thank you for your interest in volunteering withDundee Association for Mental Health. Enclosed is our application form.

If you wish to become involved in becoming a volunteer, please complete the application form return it to usat the above address.

If you have any questions or queries, please do not hesitate to contact us on 01382 227288.

Yours sincerely,

Wendy Callander

Executive Director

Registered address as above Scottish Charitable Incorporated Organisation SCO003907

DUNDEE ASSOCIATION FOR MENTAL HEALTH

VOLUNTEER APPLICATION FORM

NAME

ADDRESS

POST CODE

TEL NO

MOBILE NO

EMAIL

DATE OF BIRTH

EDUCATION AND EMPLOYMENT

Please indicate past and present experience

HAVE YOU HAD ANY PREVIOUS VOLUNTARY EXPERIENCE?

WHAT EXPERIENCE, IF ANY, HAVE YOU HAD OF/IN MENTAL HEALTH?

WHY DO YOU WANT TO VOLUNTEER WITH DUNDEE ASSOCIATION FOR MENTAL HEALTH?

WHAT ARE YOUR HOBBIES, INTERESTS AND PASTIMES?

WHEN ARE YOU AVAILABLE TO VOLUNTEER? (what days and times?)

WHERE DID YOU LEARN OF DAMH AND DO YOU HAVE ANY REASON FOR CHOOSING THIS PARTICULAR ORGANISATION?

ANY OTHER INFORMATION YOU FEEL MAY BE RELEVANT?

HAVE YOU ANY CONVICTIONS FOR CRIMINAL OFFENCES? (A PVG check will be carried out on all new volunteers)

YES / NO

If “yes”, please give details

PLEASE GIVE DETAILS OF TWO REFEREES:

NAME

ADDRESS

Email -

OCCUPATION

RELATIONSHIP TO YOU

NAME

ADDRESS

Email

OCCUPATION

RELATIONSHIP TO YOU

I DECLARE THAT THE INFORMATION GIVEN ON THIS FORM IS ACCURATE AND TRUE.

SIGNED :

DATE :

ALL INFORMATION ON THIS FORM WILL BE HELD IN STRICT CONFIDENCE

DUNDEE ASSOCIATION FOR MENTAL HEALTH

INFORMATION FOR VOLUNTEERS ON PVG

(CRIMINAL RECORD CHECKS)

We routinely undertake a PVG on all new volunteer befrienders prior to them being accepted as a volunteer as the role of a volunteer involves regular contact with vulnerable adults.

When you come to your first interview, you will be given the PVG form to complete. When returning this, you will be required to provide proof of your identity. Proof of your identity should be at least one of the following:

  • Passport
  • Driving Licence (with photograph)
  • Previous Disclosure
  • Other Photo ID Card (e.g. staff ID card)

Plus at least one of the following:

  • Bank or Building Society Statement
  • Two non-consecutive utility bills with current address.
  • Credit or store card statement
  • Financial statement (e.g. mortgage, ISA)
  • Correspondence from Benefits agency, Employment Service, Inland Revenue or Local Authority
  • Pension or other Benefit Book
  • Visa
  • Work Permit

If you do not have a piece of ID from each of the categories then we would need to see 3 pieces of proof giving name and address.

Dundee Association for Mental Health has the following policies in place:

  • Policy on Protecting Vulnerable Adults
  • Policy on the Secure Handling. Use, Storage and Retention of Disclosure Information
  • Policy on the Recruitment of Ex Offenders

These policies are available for you to read along with the Scottish Executive Code of Practice if you wish. If you have any queries about this process, please arrange to speak with Wendyat DAMH.

Data protection

The information you provide will be strictly processed in accordance with the Data Protection Act 1998. You are free to have this information amended at any time and you have the right under the Act to see the information recorded.

Ethnicity Record Keeping Form

1.What is your ethnic group?

Choose ONE section from A to E, then  the appropriate box to indicate your cultural background.

A.White

Scottish

English

Welsh

Northern Irish

Other (White British)

Any other White background

B.Mixed

Any mixed background

C.Asian, Asian Scottish, or Asian British

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

  1. , Black Scottish or Black British

Caribbean

African

Any other Black background

  1. Other ethnic background

 other background

Information not provided

  1. What religion, religious denomination or body do you belong to, believe in, or practice?

None

Church of Scotland

Roman Catholic

Other Christian

Buddhist

Hindu

Muslim

Jewish

Sikh

Another religion

Information not provided

Thank you for completing this form