Volunteer Starter Form

VOLUNTEER DETAILS FORM

Thank you for your interest in volunteering with We Are BS15!

Please complete this form so that we have all your details and can check your references.

We have tried our best to make form as quick and painless as possible! However, if you do need any help to complete the form, please email us at hi@wearebs15.co.uk or leave us a message on 01454 300186 and one of our volunteers will be happy to offer assistance.

Volunteer Application (#10)

Personal Details

Salutation

First Name

Last Name

Phone/Mobile

Email Address

Address Line 1

Address Line 2

Town

Postcode

Is there anything about yourself that you would like us to know in relation to your role with us (e.g. access needs, disability, health issues etc)?

Yes

Prefer not to say

Please tell us more about this and how we can support your needs

Are you applying for a driving role?

Yes

Driving Roles

Please note that as a volunteer driver, you are responsible for ensuring that you are insured to drive in a voluntary capacity with your own insurance provider.

As a volunteer driver you are required to ensure that you are adequately insured to drive for your volunteer role (please check with your insurer).

Please tick to confirm:

I have a full valid UK driving licence

The vehicle I am using is insured to be driven whilst volunteering

The vehicle I am using is taxed and has a valid MOT certificate

Emergency Contact Details

Salutation

First Name

Last Name

Phone/Mobile

Relationship to You

Alternative Phone/Mobile

Email Address (optional)

References

Please provide contact details for two people we may approach for references. These can be employment, educational or character references.

References from relatives cannot be accepted.

Reference One Type

Employment / Volunteering

Educational

Character

Full Name

Job Title

Name of Organisation

Work Email Address

Work Phone/Mobile

Full Name

Job Title

Name of Educational Establishment

Work Email Address

Work Phone/Mobile

Full Name

Email Address

Relationship to You

Phone/Mobile

Reference Two Type

Employment / Volunteering

Educational

Character

Full Name

Job Title

Name of Organisation

Work Email Address

Work Phone/Mobile

Full Name

Job Title

Name of Educational Establishment

Work Email Address

Work Phone/Mobile

Full Name

Email Address

Relationship to You

Phone/Mobile

I consent to We Are BS15 approaching the two contacts provided for reference checks.

Equality and Diversity Monitoring

Please take a few moments to complete our Equality and Diversity Monitoring Form.

We believe achieving equality, diversity and fairness of opportunity is our shared responsibility and we work hard to ensure that as an organisation, we are all accountable for its delivery.

In order to assist us to monitor and evaluate the delivery of our vision we would appreciate it if you will complete this monitoring form. All questions have a 'prefer not to answer' option.

The other information provided will be used for statistical purposes only. Statistical data provided to external organisations is anonymised.

Statistical data is critical for us when applying for grants.

We Are BS15 is committed to protecting the privacy and security of your personal data. For further information please refer to our Privacy Notice which can be viewed here: wearebs15.co.uk/privacy-policy/

Gender

Man

Woman

Intersex

Non-binary

Prefer not to say

Prefer to use my own term

If you prefer to use your own term, please specify here:

What is your sexual orientation?

Heterosexual

Gay

Lesbian

Bisexual

Prefer not to say

Prefer to use my own term

If you prefer to use your own term, please specify here:

Marital Status

Single

Living with Partner

Married or in a Civil Partnership

Widowed

Prefer not to say

Ethnicity

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong.

Please tick the appropriate box.

White

English

Welsh

Scottish

Northern Irish

British

Gypsy or Irish Traveller

Prefer not to say

Any other white background, please write here

Mixed / Multiple Ethnic Groups

White and Black Caribbean

White and Black African

White and Asian

Prefer not to say

Any other mixed background, please write here

Asian / Asian British

Indian

Pakistani

Bangladeshi

Chinese

Prefer not to say

Any other Asian background, please write here

Black / African / Caribbean / Black British

African

Caribbean

Prefer not to say

Any other Black/African/Caribbean background, please write here

Other ethnic group

Arab

Prefer not to say

Any other ethnic group, please write here

Disabilities

Do you consider yourself to have a physical disability or health condition

Yes

Prefer not to say

Do you consider yourself to have a mental disability

Yes

Prefer not to say

Caring responsibilities

Do you have any caring responsibilities?

Radio Field

None

Primary carer of a child/children under 18

Primary carer of a disabled child/children

Primary carer of a disabled adult

Primary carer of an older person

Secondary carer (another person carries out the main caring role)

Prefer not to say

Do you have any unspent criminal convictions? (Having a conviction will not necessarily stop you from volunteering, but it will need to be taken into consideration when assessing suitability for various roles.)

Yes

Please give details of any unspent convictions

I declare that the information given in this application form is true and complete

I have read and agree to the Terms and Conditions and Volunteer Privacy Policy

VOLUNTEER DETAILS FORM

Personal Details

Driving Roles

Emergency Contact Details

References

Equality and Diversity Monitoring

Ethnicity

Disabilities

Caring responsibilities

Find Your Way

Follow Us

Sign up to our newsletter