Student Volunteer Application Form

STUDENT VOLUNTEER APPLICATION FORM

Please complete in block capitals

(The personal information provided on this form is for record purposes only)

Personal Details

Title:Email (College/University)

First Name:

Email (personal)

Middle Initials:

Surname: Mobile:

Gender: Male/FemaleD.O.B:

Term time address:Home address:

Town/City:Town/City:

Postcode:Postcode:

Tel:

About You

Current institute of study:

Course or main subject area:

Are you Full-time or Part time? FT/PT (Please circle as appropriate) Year of Study:

If you have a Personal Development Plan to complete, would you be happy for the volunteering opportunity provided by ASPIRENorth to contribute towards this?

Yes No N/A

Would you be willing for us to contact your Student Advisor to ask them to consider whether volunteering with ASPIRENorth may contribute towards your Personal Development Plan?

Yes No N/A If yes, please state Student Advisor’s name and contact details overleaf:

Name:

Address: Tel:

Email:

Postcode:

Other Personal Detail

Primary school attended:

Secondary school attended:

How did you hear about ASPIRENorth?

E-mail Posters/leaflets Another student Freshers fayre

Other (please specify)

Travel and Availability

Please note: Schools participating in this project are spread across Aberdeen city and shire.

Do you have the use of a car? Yes/No (Please circle as appropriate)

Would you be willing to provide other students with transport if they are placed in the same school as you? Yes/No (Please circle as appropriate)

Please indicate the day(s) of the week when you would be available to volunteer i.e. when you are not required to attend College/University

Early am
(9-11am) / Late am
(11am-1pm) / Early pm
(1-3pm) / Late pm
(3-5pm)
Monday
Tuesday
Wednesday
Thursday
Friday

If your availability changes please contact Kerry Karam at the address below who will update your record

Personal Statement

Please describe why you believe you would be a suitable volunteer for ASPIRENorth. The information you provide should support your application in terms of the requirements of the role of volunteer as outlined in the person specification. If this volunteering opportunity can be part of your Personal Development Plan can you please state how volunteering with ASPIRENorth links to your PDP.

Have you ever been convicted of a criminal offence? If yes, please give details. Under the terms of the Rehabilitation of Offenders Act 1974 you are not required to disclose information about ‘spent’ convictions. i.e. those convictions for which the appropriate rehabilitation period has elapsed.

Referees (one must be a staff member from your college/university)

Name:Name:

Address: Address:

Postcode: Postcode:

Tel:Tel:

Email: Email:

The personal data provided on this application will be held on computer, in accordance with the Data Protection Act 1998. I agree that any information provided on this form may be distributed to parties within the project, provided that such use is necessary to the management of the ASPIRENorth programme.

I confirm that the above details are correct.

Signature Date

Please return this application form (no stamp required) and address any further enquiries to:

Kerry Karam

FREEPOST AB567

ASPIRENorth,

Room 16

University Office

King’s College

Aberdeen

AB24 3FX

Tel: 01224 274696 Email:

For office use only

Interviewed On system Disclosure Check

Student Volunteer Monitoring Form

ASPIRENorth is committed to equal opportunities. In order to help us monitor the efficiency of our equal opportunities policy we would be grateful if you would answer the following questions.

The information provided will be kept in strictest confidence, separate from your application form, and will be used for monitoring purposes only.

Please tick the appropriate boxes in the following sections

Age

<2020-2930-39

40-4950-5960>

Sex

Female Male

Ethnic Origin

AsianBlackWhite

IndianCaribbeanEuropean

PakistaniAfricanOther –specify

BangladeshiOther – specify______

Chinese______

Other – specify

______

Do you consider yourself to have a disability? (If yes please provide details including any specific requirements)