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Volunteer Application Form


Thank you for your interest in applying for a volunteering opportunity.

Please complete all the fields below. Fields marked with an * are required fields, so must be completed before submitting your application.

The personal data you provide will be used, stored and deleted in accordance with our privacy notice.

1. Personal Details

Are you under 18 years of age? *

2. Application Information

Other areas of interest:
Your availability: *
Please note we require a minimum of six months' commitment, for at least four hours per week.

3. Supporting Information

Rehabilitation of Offenders Act 1974: Do you have any unspent convictions? *
Do you have a disability? *

4. References

If possible, one reference should be obtained from your last employer or place of voluntary work. If not, please give the names of your previous employer or two professional people.

Referee One

Referee Two

Equal Opportunities

The Charity is committed to a policy of equality of opportunity and aims to provide a working and learning environment which is free from unfair discrimination and will enable staff and volunteers to develop to their personal potential.

In order to monitor the effectiveness of our policies and procedures all applicants are requested to complete this form. The information you provide will be treated as confidential and will not be taken into consideration for short listing or interview purposes.

How would you describe your cultural / ethnic origin? *

6. Declaration

I understand that any offer of voluntary work with St Cuthbert's Care is subject to satisfactory references and DBS Disclosure (where appropriate). I declare the information contained in this application form to be correct. I understand that supplying false or misleading information may lead to any placement being withdrawn. I agree that this information can be stored on both manual and computer files. It will be held securely and only accessed by authorised personnel.