Volunteer Application Form

Volunteers don't get paid, not because they're worthless, but because they're priceless.

We are really excited that you are interested in volunteering with us. By filling out this form we will be able to get a better idea of how much time you have to give and the type of advocacy that will best suit you. If you need any clarification on any of the questions then please contact me on 01384 456877 or email volunteer@dudleyadvocacy.org

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* 1. Contact Information

Name

Address

City/Town

Postal Code

Phone Number - Landline

Phone Number - Mobile

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* 2. Date of birth

Date / Time

Date

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* 3. What is your gender?

Female

Male

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* 4. Which race/ethnicity best describes you? (Please choose only one.)

White: British

White: Irish

White: Other White

Mixed: White and Black Caribbean

Mixed: White and Black African

Mixed: White and Asian

Mixed: Other Mixed

Asian or Asian British: Indian

Asian or Asian British: Pakistani

Asian or Asian British: Bangladeshi

Asian or Asian British: Other Asian

Black or Black British: Black Caribbean

Black or Black British: Black African

Black or Black British: Other Black

Chinese or Other Ethnic Group: Chinese

Chinese or Other Ethnic Group: Other

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* 5. How did you find out about volunteering opportunities at Dudley Advocacy ?

Volunteering Event

Poster / Brochure

Website

Internet Search

Indeed jobs site

Word of mouth

Other

Other (please specify)

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* 6. Have you previous experience of voluntary work ?

yes

If you answered yes could you tell us what the voluntary work entailed ?

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* 7. Why do you wish to volunteer with Dudley Advocacy?

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* 8. Do you have any experience of working with people who may have a learning disability or older people ?

yes

If you answered yes could you give us details of what this work entailed ?

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* 9. What skills, hobbies or experience do you have that you would like to use as a volunteer advocate ?

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* 10. When would you prefer to volunteer ? do not worry these days/ times can change

	Morning	Afternoon	Early Evening
Monday	Monday Morning	Monday Afternoon	Monday Early Evening
Tuesday	Tuesday Morning	Tuesday Afternoon	Tuesday Early Evening
Wednesday	Wednesday Morning	Wednesday Afternoon	Wednesday Early Evening
Thursday	Thursday Morning	Thursday Afternoon	Thursday Early Evening
Friday	Friday Morning	Friday Afternoon	Friday Early Evening
Saturday	Saturday Morning	Saturday Afternoon	Saturday Early Evening
Sunday	Sunday Morning	Sunday Afternoon	Sunday Early Evening

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* 11. How many hours a week do you feel you would like to spend as a volunteer advocate ?

1-2

2-4

4-6

6 plus

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* 12. What would you like to achieve through your voluntary work at Dudley Advocacy ?

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* 13. Dudley Advocacy has to ensure all are volunteers are safe to work with people with a learning disability & older people. To do this we ask all volunteers to fill out a Criminal Records Bureau application (CRB) form as part of their induction process.Having certain convictions does not barr you from becoming a volunteer.

Have you ever been convicted of a criminal offence ?

Yes

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* 14. Please supply the names and addresses of two referees who know you well. This may be a previous or current employer, neighbour, head teacher or a previous volunteering project. Please note a referee cannot be a relative.

Name

Relationship to referee

Address

Address 2

City/Town

Postal Code

Email Address

Phone Number

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* 15. 2nd reference

Name

Relationship to referee

Address

Address 2

City/Town

Postal Code

Email Address

Phone Number

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* 16. Agreement
Please sign to confirm that the details contained in this form are a true reflection .

Name:

Date:

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* 1. Contact Information

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* 2. Date of birth

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* 3. What is your gender?

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* 4. Which race/ethnicity best describes you? (Please choose only one.)

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* 5. How did you find out about volunteering opportunities at Dudley Advocacy ?

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* 6. Have you previous experience of voluntary work ?

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* 7. Why do you wish to volunteer with Dudley Advocacy?

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* 8. Do you have any experience of working with people who may have a learning disability or older people ?

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* 9. What skills, hobbies or experience do you have that you would like to use as a volunteer advocate ?

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* 10. When would you prefer to volunteer ? do not worry these days/ times can change

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* 11. How many hours a week do you feel you would like to spend as a volunteer advocate ?

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* 12. What would you like to achieve through your voluntary work at Dudley Advocacy ?

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* 14. Please supply the names and addresses of two referees who know you well. This may be a previous or current employer, neighbour, head teacher or a previous volunteering project. Please note a referee cannot be a relative.

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* 15. 2nd reference

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* 16. AgreementPlease sign to confirm that the details contained in this form are a true reflection .

* 16. Agreement
Please sign to confirm that the details contained in this form are a true reflection .