Volunteering

Volunteering Application Form

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Client Profile Survey

Sutton Borough CABx Service wants to make sure that our clients, volunteers and supporters represent the local community. We would therefore be very grateful if you would take a few minutes to complete our client and volunteer profile survey. The information that you provide is confidential. However, if you do not want to provide the information you don’t have to give it.

Date of Birth:
Ethnicity
Housing:
Gender:
Employment:
Partner Employment:
Nationality:
Immigration:
Partner Immigration:
Household:
Number of Children:
Disabled: Yes No
Long term health problem: Yes No
Disability:

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Personal Information

Title:
First name:
Last name:
Address Line 1:
Address Line 2:
City:
County:
Post Code:
Email:
Day Time Telephone:

Are you interested in any particular type of volunteer role(s)? eg adviser, gateway interviewer, trustee.

Describe any skills you have that would be useful for the role you wish to do. Some we have thought of include dealing with people face-to-face or on the phone, speaking/writing a language other than English, sign language, filing, research, using a computer, helping people to learn.


Is there anything you have done over the past few years that you would like to tell us about? eg employment, work experience, volunteering, community activity (involvement in tenants' associations, school activities, support groups, etc), caring for children, other relatives or a friend, classes, training courses

Why do you want to volunteer for the CAB? What do you hope to get from the experience?

What do you think are some of the main problems facing your community?

Volunteering Availability
It is useful to know when you will be available to volunteer. Please indicate below the times when you are generally available:
Monday: AM PM
Tuesday: AM PM
Wednesday: AM PM
Thursday: AM PM
Friday: AM PM
Please indicate approximately how many hours or days per week you would like to volunteer for:

Are there any times that you are unlikely to be available, eg school holidays?

Is there anything else you would like to say about yourself?

References

Reference 1 First name:
Reference 1 Last name:
Reference 1 Address Line 1:
Reference 1 Address Line 2:
Reference 1 City:
Reference 1 County:
Reference 1 Post Code:

Reference 2 First name:
Reference 2 Last name:
Reference 2 Address Line 1:
Reference 2 Address Line 2:
Reference 2 City:
Reference 2 County:
Reference 2 Post Code:

Please tell us about any specific needs you would like us to take into account, either at the interview or if we offer you a volunteer role eg mobility. This information will be treated as strictly confidential.

Agree:
Please note: To ensure the safety of our clients, the Citizens Advice service requires that all volunteers who have access to clients have their criminal records checked. However, the Citizens Advice service is committed to the promotion and delivery of equal opportunities to volunteers and so has a policy to ensure ex-offenders are not discriminated against.

All offences, other than sexual crimes against a child or vulnerable adult, will be treated on an individual basis taking into account issues such as the risk to the client, the circumstances of the offence (eg what it was, is it relevant to the volunteer role, how long ago it was) and the reputation of the bureau.

I agree to the statement above:
Date:

What made you apply to be a volunteer? E.g. newspaper article, poster, through a friend

Data Protection Act 1998:
As part of the recruitment procedure we may collect and store sensitive personal data about you. We are required by law to obtain your consent to such data being recorded. It is our policy to store data relating to recruitment procedures for up to a year after the date on which it is submitted. Any information of this nature will be treated confidentially. Sensitive personal data is defined as information relating to any of the following: racial or ethnic origin, political opinions, religious beliefs, trade union membership, health, sexuality or sex life, offences and/or convictions.


For the purposes of the Act the Data Controller is: Borough Citizens Advice Bureaux
I give my consent to sensitive personal information being recorded and stored.

Date: