Volunteer Application Form - Caregivers Connected Gateshead

Thank you very much for your interest in volunteering for Caregivers Connected Gateshead. If you need assistance with completing this for, please email our volunteer co-ordinator, Paul McKinnell: p.mckinnell@carersfederation.co.uk All the information you provide on this form is confidential and will not be passed on to a third party. Caregivers Connected Gateshead complies fully with current Data Protection and Freedom of Information legislation.

Which volunteer role are you applying for?(Required)

Where did you see this role advertised?

Please tell us about yourself

Name(Required)

Title First Name Last Name

Preferred Pronoun

Address(Required)

Street Address City Post Code

Phone Number(Required)

Email Address(Required)

Please select which method(s) you would prefer for contacting you about your volunteer application.

Phone

Text

Letter

Emergency Contact

Name

Relationship to you

Phone Number

Volunteering with us

Please tell us why you would like to volunteer for Caregivers Connected Gateshead. What would you like to get out of your volunteering experience.(Required)

Please tell us a little more about you and what skills and qualities you feel make you suitable for the volunteer role you are interested in (Please refer to the volunteer role description, in particular the skills and experience required for the role).(Required)

Your Availability to Volunteer

Have you checked the role specification for when we require someone for the role and can you meet this requirement?(Required)

Yes

Do you require any support from Caregivers Connected Gateshead to voluneer?(Required)

Yes

What support would you require?

Which days and times are you available to volunteer?

Please tick all that apply. If the role does not take place at regular times, please leave blank and discuss with your volunteer co-ordinator.

Volunteering Status

The right to volunteer in the UK can be dependent on your citizenship and UK immigration status so please make sure that you are allowed to volunteer on your visa.

Are you legally entitled to stay in the UK?(Required)

Yes

References

Please give the names and contact details of two people, who know you in a work related, academic or professional capacity. This could be an employer, teacher, tutor, a colleague, or former colleague where you have worked or volunteered before. It could also be someone who knows you well (but not a member of your family). Some of our roles do not require references. We will advise you if this is the case during our initial contact about volunteering with Caregivers Connected Gateshead.

Referee 1

Name

Email Address

Phone Number

What is your relationship to this person?

Referee 2

Name

Email Address

Phone Number

What is your relationship to this person?

Our policy on convictions

Having a criminal record is not in itself a barrier to volunteering, and we will only take relevant convictions or sexual offences into account. Our policy is in place to make sure ex-offenders are treated fairly. We consider each offence individually, looking at issues like risk to our clients, how long ago it took place, the circumstances and whether they are relevant to the volunteer role. Anyone with a caution or conviction for a sexual offence against a child or vulnerable adult is considered unsuitable to volunteer.

Have you had any previous convictions not regarded as spent under the Rehabilitation of Offenders Act 1974?(Required)

Yes

Declaration

I declare that the information given in this application is a true and complete statement. I understand that any offer of appointment and subsequent volunteering is subject to satisfactory references and satisfactory disclosure from the Disclosure and Barring Service or Disclosure England at the appropriate level, where this is a requirement of the role (if stated in the volunteer role description).

Signature(Required)

Date(Required)