Title (Mr, Mrs, Miss, Ms, Etc.): Surname

Title (Mr, Mrs, Miss, Ms, Etc.): Surname

Volunteer Application Form

Volunteer role applied for:

CONFIDENTIAL

  1. Personal Details

Title (Mr, Mrs, Miss, Ms, etc.): Surname:

Forename:Female Male

Address

Post Code

Mobile NumberHome/ Work Number

EmailDate of Birth

Have you ever applied to Housing for Women for a volunteering role before? Yes/ No
When? / Role?
  1. How did you hear about us?

Volunteer Centre (specify)
______/ Word of Mouth / Recruitment agency (specify)______
Housing for Women Website / Charity Job / Other (specify)
______
  1. Availability.

Please State the days that you are available to volunteer

Monday / Tuesday / Wednesday / Thursday / Friday
A.M
P.M

...... Other: ______

We hope volunteers can commit to 6 months, but we are happy to discuss how we can accommodate your time commitment availability

  1. Which areas of volunteering are you interested in:

4.a Face to Face Support Roles
Befriender
Mentoring (female only)
Children’s Services (female only)
Refuge Support (female only)
Counselling (female only)
Other______/ 4.b Office and Admin support Roles
Finance
Maintenance
Fundraising
HR /Admin
Housing Management
Other______
  1. Briefly tell us what are your motivations for volunteering at Housing for Women?
  1. What skills, knowledge and experience do you have that are relevant tothis role? (E.g. ability to speak another language training; work, volunteer orlife experience)

  1. References

Please provide the names and contact details of two refereesthat know you in a formal capacity i.e. employer, key worker, tutor, volunteer manager, etc.

If you are unable to provide referees that are not friends or family members, please contact us to help you to identify suitable referees.

7.a Name: / 7.b Name:
Address:
Tel:
Email: / Address:
Tel:
Email:
How do you know this person? / How do you know this person?
When did you last have contact with this person? / When did you last have contact with this person?
7.cAre you related to any board member/ employee of Housing for Women? Yes/ No
If YES, please give details:
Name: / Job Title: / Relationship to you:

Please be advised that all role offers are subject to satisfactory references

  1. Criminal Convictions and Disqualifications

CRIMINAL CONVICTIONS - REHABILITATION OF OFFENDERS ACT (EXEMPTIONS) ORDER 1975
The Rehabilitation of Offenders Act 1974 provides that certain criminal convictions become ‘spent’ after the passage of time, that is the law will treat them for most purposes as if they had never happened and it is not necessary to disclose them on Application Forms. However, the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975 contains certain classes of employment/ volunteer involvement where a person can be asked to disclose spent convictions. The role for which you are now applying may fall within that order and you may therefore be required to detail below previous convictions, cautions, reprimands or warnings, whether or not they are spent. Please refer to the volunteer role description.
For roles that are subject to a disclosure, please note that a criminal record will not necessarily bar you from volunteering. This will depend on the nature of the position and the circumstances and background of the offence.
If you fail to disclose that you have been convicted of criminal offence or received a caution, reprimand or warning this may lead to withdrawal of any volunteer role offer made by the Association. Any information given will be treated in the strictest confidence and will be considered only in relation to an application for volunteer roles which the order applies.
8.aPlease give details of all offences of which you have ever been convicted. If you have none, please write “None” below.
Date: ______
Details of convictions, cautions or blind overs penalty:
8.bAre there any matters pending? Yes / No
If ‘Yes’ Please give details:
8.c Are you entitled to volunteer in the UK? Yes/ No
If you are a UK citizen you are entitled to volunteer. Most EU citizens are also free to volunteer. If you are not a EU Citizen, we will need to check that your visa allows you to volunteer in the UK.
8.d Please tick the boxes below to authorise Housing for Women to carry out a Disclosure and Baring Service (DBS) check if deemed necessary
I hereby consent to the DBS process

I declare that the particulars given are correct and I have not withheld any facts which might unfavourably affect my application. I am aware that to withhold or falsify information could result in dismissal.

Last Name:
First Name:
Signed:
Date:

N.B. failure to complete this section of the application form may result in the applicant not being shortlisted or invited to attend an interview.

We will treat all information provided on this form in the strictest confidence - you may provide additional information in writing and in confidence or indicate that you wish discuss in more detail if invited for interview.

  1. DECLARATION

Housing for Women takes its duty of care to the people who receive services from us very seriously.

To ensure all reasonable care is taken, references will always be taken.It is important, therefore, that you give exact names and current addresses of previous employers/voluntary work areas. Please also advise us of any change to your name relevant to previous employment, i.e. known by your maiden name. Failure to provide this information may result in any offer of appointment being delayed.

You may also be offered the Volunteer role subject to Disclosure & Barring Service and other checks.

You may not be able to commence work, until the results of these checks have been received.

This intensive procedure can take some time; however, we are certain you will appreciate the reasons why such stringent checks are made, and ask you to bear with us whilst they are completed.

Data Protection Act 1998 applies. We will treat all information relating to your application in confidence.

If you are unsuccessful, your form will be destroyed 6 months after the closing date although the Association reserves the right to add your details to our database of suitable candidates for other similar roles.

I declare that the information I have given on this form is complete and accurate and that I am not banned or disqualified from working with children and/or vulnerable adults nor subject to any sanctions or conditions on my employment imposed by a regulatory body or the Independent Safeguarding Authority.
I understand that to knowingly give false information, or to omit information, could result in the withdrawal of any offer of appointment, or my dismissal at any time in the future.
I have not canvassed (either directly or indirectly) any board member or employee of Housing for Women and will not do so.
Signed:
Date:
Print name:

Please return your signed and completed form to:

Maria Galan

Volunteer Co-Ordinator

020 3794 4798| 077 1146 9094

Email:

Post: Housing for Women, 6th Floor, Blue Star House 234-244 Stockwell Road, London SW9 9SP

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