Bishop Creighton House Settlement

378 Lillie Road, London SW6 7PH

Tel: 020 7385 9689 Fax: 020 7386 9149

E-mail:

Dear Potential Volunteer,

Thank you for your interest in becoming a volunteer with us. Keep Active is a volunteer- delivered project which aims to provide support to older people who have had a fall or stroke. We work in partnership with the Community Rehabilitation Service in the borough of Westminster.

Please find enclosed an information pack. If you would like to be considered for the role of Keep Active volunteer please complete the forms and return them to me at or post them to me at the address above.

We are looking for people who:

·  are able to travel easily to the Westminster area.

·  Are able to spare 2 hours a week, preferably during working hours

·  Enjoy older people‘s company and who want to make a difference to someone’s health and wellbeing.

As a Keep Active Volunteer we ask you to visit an older person once a week for 9 weeks to help them with improving mobility indoors and outdoors. You benefit from training provided by Westminster Community Rehab Service and Bishop Creighton House. Your visits can make a big difference to someone’s life and volunteering can be a very rewarding experience. If you have any questions, or would like to discuss the project in more detail before you complete the form, please feel free to call me on 07506 988 741.

I look forward to receiving your completed form and meeting you soon.

Yours sincerely,

Liz Rickarby

Keep Active Volunteer Coordinator

Keep Active

Information for people interested in becoming a volunteer

Introduction to the project

Keep Active is a volunteer deliveredprojectat Bishop Creighton Housein partnership withthe H&FCommunity Rehabilitation Team and Westminster Community Rehabilitation Team.

Volunteers will provide short termsupport(up to 9 weeks)to older peopleafter discharge from theCommunity RehabilitationTeam.Volunteer support will focus on keeping older people physically activeand independent; and will aim to build confidence so older people can remainengagedwiththeirlocalcommunity.

Time Commitment

Volunteers should be available for 2 hours each week, preferably on weekdays, during the day.

What does a Keep Active volunteer do?

Our volunteers help older people after discharge from the Community Rehab service to receive 9 weeks further support:

·  You could accompanying someone to an exercise class

·  Take a walk to the local shops

·  Help to connect someone with a local support group

·  You could be visiting people in their homes helping someone reach a specific goal within their home

Who can be a volunteer with Keep Active?

Volunteer should be willing to make a commitment to be involved with the project for at least 3 – 6 months. . You do not need any particular knowledge but you do need to have:

·  A positive attitude towards empowering and improving the lives of older people

·  Enthusiasm and commitment

·  Good communication skills and a good level of spoken English

We provide a comprehensive induction training programme and support to help you become a volunteer.

Important: For practical reasons, there are certain things which we require from volunteers, in order to make sure we can support you and our scheme members fully:
1.  You should be available for approx 2 hours each week during the day. You should also be able to attend regular volunteer support meetings and training events.
2.  You should be able to travel easily to the Westminster area.
3.  You should have been resident in the UK for over two years, so that we can apply to the Disclosure and Baring Service for a Criminal Records check on your behalf.

Very occasionally we may decide with you that volunteering with Keep Active is not the most suitable opportunity. If this project is not suitable then we can put you in touch with other agencies that need volunteers.

What support do volunteers receive?

·  Induction training

·  Regular contact and support from the project staff

·  Support meetings with other volunteers

·  Regular newsletters and email updates

·  Reimbursement of expenses

What might a volunteer gain from involvement?

We are a friendly team who really value our volunteers. Volunteering with us is also an opportunity to gain new skills and experiences. It is a chance to meet new people and hopefully provide a sense of satisfaction from knowing that you are making a positive contribution by giving your support to help an older person recover mobility after a fall or stroke. Becoming a volunteer with Keep Active might be useful in gaining a Further Education Qualification, getting paid work or making a career change.

Becoming a volunteer with Keep Active

If you would like to become a volunteer, these are the steps you will follow with us:

1.  Complete an application form and a disclosure of offences form and return them to the Volunteer Coordinator. You will also need to provide two referees. We will hold your information on our records for the purpose of contacting you. We will not keep your information for longer than needed for that purpose. We will only hold your data for one year after you leave.

2.  Attend an informal interview with the Volunteer Coordinator and complete a Disclosure & Barring Service check . This allows us to check to see if you have a criminal record. (If you do have a criminal record you may still be able to be a volunteer, depending on the offence.)

3.  We will contact your referees.

4.  Attend induction training.

If all these stages go smoothly then:

5.  You will be invited to join our Keep Active team and will be taken to meet a person who has just been discharged from the Community Rehab Service.

There will be an ongoing program of training and regular support meetings.

You may decide at any stage that it is not the right thing for you, or we may suggest that it is not the best volunteering opportunity for you. If this happens then we can help you find other opportunities.

Volunteer Application Form

Thank you for your interest in becoming a volunteer. Please complete this form so that we may have some basic information about you and some idea of the skills you might bring to the projects. If you need any help in completing this form please contact us. BCH is committed to an equal opportunities policy. All information given will remain confidential between you and BCH.

Personal information

Full name / Address
Telephone number: / Postcode
E-mail: / How did you hear about BCH?
Date of birth / Have you been resident in the UK for over 2 years?
Yes No

Tell us about yourself

Please tell us why you are interested in being a volunteer with us
Please tell us about your experiences as a volunteer or work/study that is relevant to BCH

Please tell us what you are doing at the moment, and about any skills or interests that you think may be relevant.

Further information

·  What time each week do you have available and are you available in the day?

·  Would you be able to attend regular training, support or supervision meetings?

Yes No

·  Is there any medical information about yourself that we should be aware of?

Yes No

If yes please provide further detail:

·  Please tell us the name, address and phone number of someone we could contact in the event of an emergency.

I declare that the above statements are true to the best of my knowledge.

Signature…………………………………………Date……………………..……......

(If you are returning this form by email, leave this section blank and you can sign the form when we meet for an informal interview).

References

BCH provides a service for adults who are vulnerable. For that reason we ask you to supply the names and addresses of two people who know you well (not relatives) who we can contact for references. They should have known you for over two years and one should be your present or past employer, an organisation you have volunteered for, teacher or tutor. They cannot both be friends. Please discuss references with us if there is a difficulty.

Referee 1
Full name / Address
Telephone number: / Postcode
E-mail: / In what capacity do you know this person?
Referee 2
Full name / Address
Telephone number: / Postcode
E-mail: / In what capacity do you know this person?

CONFIDENTIAL: Disclosure Form

In the interests of protecting vulnerable people we must ask you the following question. Please be assured that this is in confidence and will not necessarily stop you from becoming a volunteer. All information will be held in line with the data protection act.

Do you have a criminal record (this includes criminal convictions, cautions, reprimands or final warnings)? Yes No

If ‘Yes’, please supply us with details and dates of your criminal record:

Date / Offence

I certify that the above is a true statement.

Name (please print)….………………………………………………………………..…..

Signed…………….……………………………… Date.……………………………..….

(If you are returning this form by email, leave this section blank and you can sign the form when we meet for an informal interview).

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