Menphys Sport, Play and Leisure (MSPL)
Volunteer Application Form
Private and Confidential
Personal Details (Block capitals)
Title MISS MS MRS MR OTHER (PLEASE SPECIFY) / Name:Volunteer Role applying for:
Address:
Post Code / Volunteers need to be 16 years or older to volunteer for the Clubs. Please tick here to confirm you are 16 years or older
National Insurance Number:
Have you a current full driving licence
YES/NO
Telephone: Home Mobile
Have you ever been convicted of a criminal offence?
(Which is not a spent conviction under the Rehabilitation of Offenders Legislation) YES/NO
If you would require any particular arrangements when attending an interview, please give details.
Do you hold a current valid passport or ID card? YES/NO
For overseas vacancies only.
If you are a student:
Please state the school or college that you are attending and the courses that you are following:
If you are in employment:
Please state the name and address of your employer and the position you hold
Please tell us about any work, volunteering, personal experience or skills that you have that are relevant to the role you are interested in:
Please tell us about your hobbies and interests:
Do you have any particular needs that we should be aware of so that we can support you to volunteer with us?
Name and Address of 2 Referees.If you have not been in work, then please list two people other than relatives who would be willing to serve as personal references.
1. Name of Main Current Employer / 2. Name of Additional EmployerAddress:
Post Code:
Telephone
Email: / Address:
Post Code:
Telephone:
Email:
Why do you want to volunteer for the Menphys Saturday Clubs?
Please include if you have any career or personal goals for the future?
Which Club would you like to volunteer at?
- Children’s Club 8-16yrs
- Adult Club 16-25 yrs.
Other volunteering positions you are applying for.
How long and how often can you volunteer your time?
The clubs are on Saturday morning term time only from 9:45-1:15. Please let us know how often you can volunteer.
Please tell us where you heard about the role:
I confirm the information given is accurate.
Signature: ______Date:______
PLEASE RETURN YOUR COMPLETED FORM TO:
Lyn Edwards
Menphys
Unit 8 Best House
Grange Business Park
Enderby Road
Whetstone
Leicestershire LE8 6EP
Email:
DECLARATION
I declare that, to the best of my knowledge, the information given on this form is correct. I understand that providing misleading or false information will disqualify me from appointment or, if appointed may result in my dismissal.
Date
Signature
If you are completing this form electronically and are invited to interview you will be required to sign your application form at that stage.
By completing this form I understand that I give my consent under the Data Protection Act 2003 for this information to be processed in accordance with the MENPHYS policy for the purpose stated above.
Disclosure and Barring Service (DBS) Checks - If your application is successful and you are offered employment with us you may be asked to consent to an Enhanced Disclosure check by the DBS. This is to ensure we safeguard the children and young people we work with. You do not have to consent to these checks being carried out. However, if consent is withheld MENPHYS will have the right to withdraw the offer of employment.
Data Protection Statement - The information that you provide on this form and that obtained from other relevant sources will be used to process your application for employment. We may also use the information if there is a complaint or legal challenge relevant to this recruitment process. We may check the information collected, with third parties or with other information held by us. We may also use or pass to certain third parties information to prevent or detect crime, to protect public funds, or in other ways as permitted by law. By signing the application form you are agreeing to the processing of sensitive personal data in accordance with our registration with the Data Protection Commissioner
PLEASE RETURN YOUR COMPLETED FORM BY EMAIL TO
Or post it to
Lyn Edwards
MENPHYS
Unit B, Best House
Grange Business Park
Enderby Road
Whetstone
Leicestershire
LE8 6EP
EQUAL OPPORTUNITIES FORM
Menphys is fully committed to the active promotion of equality and diversity in its employment practices, in the work that it undertakes and in the provision of all its services. Menphys treats all employees, service users and the children and young people with whom we engage fairly, irrespective of their age, gender, sexual orientation, ethnicity, faith, disability or impairment, including HIV status and mental health.
Menphys needs to record these details which will only be used to fulfill Menphys equal opportunities obligations and as a guide in building efficient recruitment strategies. The information contained in this form is completely confidential.
- Your age range (please tick box)
16 – 21 22 – 30 31 – 40 41 – 50 51 – 60 61 – 65 65+ Not stated
- Your Gender Male Female
- How do you identify your ethnic group? Pleas tick the appropriate box or complete the section below
White
White Irish
White EU
White other /
/ Black UK
Caribbean
African
Black other /
Asian UK
Pakistani
Indian
Bangladeshi /
/ Asian other
Mixed
Other (state) /
______
- Do you consider yourself to have a disability?
YES
NO
PREFER NOT TO DISCLOSE INFORMATION
If ‘YES’ Please state the nature of the disability and let us know whether you need any adjustments to be made in order to be able to carry out this role/interview at the best of your abilities.
Interviewed by / Date
Details
Decision: Accept/Reject
1