About You
Title:
First name:
Surname:
Address:
Postcode:
Home Tel:
Mobile Tel:
Email:
Date of Birth:
Occupation (or past occupation if retired):
Have you had any serious illnesses or injuries, or do you have any allergies or other conditions of which we should be aware?
Yes No
If yes, please provide details:
Emergency contact number and name, while you’re volunteering with DJH:
Name:
Tel. No:
Relationship:
Skills and experience
Please give details of any previous volunteering
either with YHA or elsewhere:
Please tell us why you would like to volunteer with YHA / DJH?
Do you have a full driving licence?
Yes No
Have you had any endorsements in the last
3 years?
Yes No
If yes, please give details:
Please give details of any relevant skills, experience
and qualifications that will enable you to fulfil the
above role(s)?
How did you hear about volunteering for YHA/DJH?
Family/friends YHA/DJH-Publications
YHA/DJH Website At a Youth Hostel
Other (detail below)
References
Please give the names of two referees, one of whom should be your present or most recent employer, where applicable. Alternatively, referees must be people who you know in a professional capacity such as employers, doctors, teachers / college lecturers. We will not accept references from friends, neighbours or family.
Referee 1
Name:
Address:
Occupation:
Postcode:
Telephone:
Email:
Referee 2
Name:
Address:
Occupation:
Postcode:
Telephone:
Email:
Criminal offences
Do you have any criminal prosecutions pending
(excluding minor motoring offences e.g. speeding)?
Have you ever been convicted of any criminal
offences which are not yet spent under The
Rehabilitation of Offenders Act 1974 or The
Rehabilitation of Offenders(NI) Order 1978. Spent
convictions need not be declared. (Please note
that any ex-offenders of such convictions will be
considered on an individual basis and the nature
and potential relevance of the offence to the job
being applied for will be taken into account in the
recruitment decision)
Yes No
If yes, please give details:
This role requires a Criminal Records Bureau
Check, therefore you will also need to complete the Declaration Form
Declaration
I consent to checks being made with relevant parties and declare that the information that has been given in this form is correct to the best of my knowledge.
Signed:
Date:
If you are under 18 this form must be signed by
parent/guardian.
Signed:
Data protection
DJH will use the information you have provided to
process your application as a volunteer. If you are
successful in your application, we will inform you of your placement details and the training and support available.
Please return to:
YHA Volunteering,
Trevelyan House,
Dimple Road,
Matlock, Derbyshire
DE4 3YH
Web: