Volunteer For Us PrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Last Name *Street Address *Address 2Town/CityPostcodeEmail Address *Phone Number *Availability *Monday AMTuesday AMTuesday PMWednesday AMWednesday PMThursday AMThursday PMWeekends (For planned Events)Remote (Befriender)Select all that applyYour Skills & InterestsPrevious ExperienceCriminal Records Check *YesNoDue to the nature of our work, some of our volunteer roles require a criminal records check. Do you have any convictions (spent or unspent), cautions, repremands or final warnings that are not “protected” as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)?Please Describe *Confirmation *I AgreeYour details will be kept in accordance with the Data Protection Act 1998/2003. They will be held securely and confidentially. They will be accessed only by authorised management. To the best of my knowledge and belief, the information contained above is accurate. I understand that the appointment to a volunteer role if offered will be subject to the information given on this application form being correct and evidenced.Date *DaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924Submit Application
