Volunteer Enrolment Form

Volunteer Enrolment Form

CONFIDENTIAL

VOLUNTEER APPLICATION FORM

APPLICATION FORM TO JOIN AGE CONCERN HAMPSHIRE

If you need any help completing this form please contact the HR Department on 01962 892454. Thank you for your interest in supporting our Charity.

Surname
First Names
Title Mr/Mrs/Miss/(Other)
Address
Home Telephone No. / Email address:
Mobile No.
Which branch would you like to volunteer in?
What past experience do you have?

Please give the names and addresses of two referees. (Neither should be related to you,

and one should be your current or most recentemployer, or professional person, if

possible).

Name
Capacity in which known to you
Address
Email
Tel No. / Name
Capacity in which known to you
Address:
Email
Tel No.

Please indicate the times when you would be available:

Monday / Tuesday / Wednesday / Thursday / Friday
am / am / am / am / am
pm / pm / pm / pm / pm
Saturday / Sunday
am / am
pm / pm

How did you learn about volunteering opportunities with our charity?

………………………………………………………………………………..

DATA PROTECTION

It is important for us to record our volunteers’ contribution, and also to ensure that we comply with Data Protection legislation. We are required to keep records of volunteers to comply with Safeguarding* requirements, and of course to be able to liaise with our volunteers, and to generate statistics on numbers of volunteers supporting us in different areas which helps us to secure funding.

I give permission for Age Concern Hampshire to record personal information in support of my volunteering activities should I commence as a Volunteer with the charity. I understand this data may be kept and maintained in computer and/or manual format. I understand that such information is required with regard to Safeguarding of the charity’s service users (with reference to the DBS Disclosure service, with records kept in accordance with DBS guidelines), for my contact details to be available for my manager at Age Concern Hampshire, and to ensure that my service to the charity is recorded.

I certify that all the information given on this form is correct.

*Age Concern Hampshire classifies some voluntary roles with the charity as requiring an Enhanced Disclosure and Barring Service Certificate. The charity would liaise with you to process the request for a DBS certificate if this is required

Signed………………………………………

Date…………………………………………

Please return this form either to your local Age Concern Hampshire Centre, or to: Volunteer Applications, HR Dept, Age Concern Hampshire, 1 St Cross Rd, Winchester SO23 9JA. Or email your form to

February 2014 V2