ParalympicsGB Pre-Games Simulation Camp:

Volunteer application form

Confidential

Please complete this form clearly

PERSONAL DETAILS
Title: Name:
Date of birth:
Address: Home address (if different from other address) :
Post code: Post code:
E-mail: Alternative E-mail (if required):
Telephone number: Home telephone number:
Mobile telephone number: School, College or University you are
Studying at(if applicable) :

Volunteer Roles

Volunteers will be allocated a role for the duration of the camp, depending on a number of factors including availability, camp requirements etc.

All volunteers will receive accreditation for the duration of the camp and certificated proof of volunteering from the British Paralympics Association. Depending on the length of your volunteer shift meals may also be provided.

AVAILABILITY

Please tickthe boxes below to indicateyouravailability throughout the week:

(Please include the times you would be available between. We will also require some volunteers to work early shifts e.g. from about 7am and some later shifts until 9pm, please indicate if you would be able to work such a shift

Dates and Times volunteers are required: (guideline only, as volunteers are likely to work shift patterns)

Friday 19th August / Saturday 20th August / Sunday 21st August / Monday 22nd August / Tuesday 23rd August / Wednesday 24th August / Thursday 25th August
Friday 26th August / Saturday 27th August / Sunday 28th August / Monday 29th August

To facilitate a team atmosphere and to ensure that all the sports are assisted for the duration of their stay we ideally need volunteers to be available for a block of days (e.g. Monday – Friday, Monday – Thursday, Saturday – Tuesday etc). However if you can only commit to a few days we still value your help. We also ask that by signing this application form you commit to being available for the dates you have given us.

OTHER INFORMATION IN SUPPORT OF YOUR APPLICATION

MEDICAL DECLARATION

GENERAL

Do you have a current Criminal Records Bureau declaration? YES/NO
If Yes; Please tell us who this was undertaken by, your disclosure reference number, and the date the check was completed:
Organisation:……………………………………Ref.Number:…………………………………..Date:…………………
If No we will send the required paperwork to your listed address.
Have you been convicted of any criminal offences? YES/NO
If Yes, please supply details of any criminal convictions:
Is a criminal prosecution pending? YES/NO

DISCLOSURE

Disclosure is a process run by the Criminal Records Bureau to help organisations make more informed recruitment decisions about the suitability of those seeking to work in positions of trust, particularly for work including regular contact with children or other vulnerable members of society.
The job description will confirm whether a Disclosure is required for the post for which you are applying. If a Disclosure is required a criminal record will not necessarily be a bar to obtaining a position and Disclosure information will not be used unfairly.

CONFIRMATION

Name of Volunteer (in print):…………………………………………………………..

Signature of Volunteer:……………………………………………………..

For those under 18 we require a counter signature of a Parent/Guardian.

Name of Parent/Guardian:………………………………………………

Signature of Parent/Guardian:……………………………………………

By signing this you are giving us permission to contact the volunteer directly on the above details. If you have any questions regarding this statement please contact us directly.

Date signed by Volunteer………………………and Parent/Guardian………………………..

DATA PROTECTION STATEMENT

The information that you provide on this form and that is obtained from other relevant sources will be used to process your application. The personal information that you give us will also be used in a confidential manner to help us monitor our recruitment process. If you succeed in your application and take up the voluntary opportunity with us, the information will be used in the administration of your role with us. We may check the information collected, with third parties or with other information held by us. We may also use or pass on to certain third parties information as permitted by law.
By signing the application form we will be assuming that you agree to the processing of sensitive personal data (as described above), in accordance with our registration with the Data Protection Commissioner

DECLARATION

I confirm that all information given in this application is correct to the best of my knowledge, that all the questions related to me have been accurately and fully answered and that I am in possession of the qualifications I claim to hold. I give my consent to the University of Bath to record, process and validate my personal information and sensitive personal data in line with the Data Protection Act 1998 and all other legislative provisions.
SIGNED:...... DATE:......

PLEASE RETURN THIS COMPLETED FORM TO:

Rachel Seymour

Email:

Post:

Rachel Seymour

Events Team

SportsTrainingVillage

University of Bath

Claverton Down

Bath

BA2 7AY

APPLICATION DEADLINE: 22nd June 2011

Please direct any queries to Rachel Seymour on 01225 384267

OFFICE USE ONLY

Date Received Date Acknowledged Application Number