Volunteer Application Form - Carers Support Service

Application Form for Volunteers

Thank you for applying to be a volunteer at the Carers’ Support Service. As part of our process of Volunteer recruitment we need to ask you for some information about yourself. We try to keep any form filling and information requests to a minimum but you should be aware that information you provide would be held on our database. In common with many organisations that use the services of Volunteers we need to take up references. We will also complete a DBS for you depending on which volunteer role / placement you are applying for. This is to enable us to comply with legislation and good practice. Any information that you provide is treated in the strictest confidence.

Please confirm to verify that we have your consent to store your details *

Title *

Surname *

First Name *

Address *

Post Code *

Contact Number *

E-Mail *

Employment Status *

Do you drive ? *

Do you have access to a car? *

What area of work would you be most interested in? *

I would like to volunteer for: *

Please could you give details of any relevant skills or experience you have. This could be paid work, voluntary work, education or personal experience. Please also tell us about any interests or hobbies you may have. *

What has attracted you to the idea of volunteering with the Carers’ Support Service? *

How did you find out about volunteering with the Carers’ Support Service? *

Any amount of time you give is valuable to us, be it an hour or two every now and then or a regular commitment – (we would welcome the opportunity to discuss and tailor your volunteering in person).

I can offer my time: *

Health - Please give details of any disabilities or health problems which may affect your Voluntary work. Please note that a disability or health problem does not necessarily stop you from being a volunteer.

Please note that a criminal record will not necessarily prevent you from working as a volunteer. However, because of the vulnerability of some of the people with whom we work, we reserve the right to conduct checks as deemed necessary.

Do you have any criminal convictions? We will contact you if further information is required *

We ask that all volunteers give the names of two referees who are not related to them. You need to have known them for over 12 months

1st Referee please provide their Name, Position / Job, Address, Mobile Number, e-mail *

2nd Referee please provide their Name, Position / Job, Address, Mobile Number, e-mail *

Signature - I declare that the information I have given is true to the best of my knowledge and belief I undertake to keep all information relevant to the Carers’ Support Service clients in strictest confidence. *

Name *

Date *

Application Form for Volunteers

The Carers’ Support Centre

Staff Documents

Brigg office

Grimsby office