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 New Starter Form

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Salut.

First Name

Last Name

Phone No.

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

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.

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 Contact Number

References

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

Reference One Type

Employment / Volunteering

Educational

Character

Full Name

Job Title

Relationship to You

Name of Organisation

Phone/Mobile

Reference Two Type

Employment / Volunteering

Educational

Character

Full Name

Job Title

Relationship to You

Name of Organisation

Phone/Mobile

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

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

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 say' 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/

Age

16-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65+

Prefer not to say

Gender

Male

Female

Intersex

Non-binary

Prefer to use my own term

Prefer not to say

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

Is the gender you identify with the same as your gender registered at birth?

Yes

Prefer not to say

What is your sexual orientation?

Heterosexual

Gay

Lesbian

Bisexual

Prefer to use my own term

Prefer not to say

Marital Status

Single

Living with Partner

Married or in 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

Irish

Gypsy or Irish Traveller

Any other White background, please describe

Any other white background, please write here

Mixed / Multiple Ethnic Backgrounds

White and Black Caribbean

White and Black African

White and Asian

Any other Mixed/Multiple ethnic background, please describe

Any other mixed background, please write here

Asian / British Asian

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background, please describe

Any other Asian background, please write here

Black / African / Caribbean / Black British

African

Caribbean

Any other Black/African/Caribbean background, please describe

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

Other ethnic group

Arab

Any other ethnic group, please describe

Any other ethnic group, please write here

Prefer not to say

Disabilities

The Equality Act 2010 defines a person as disabled if they have a physical or mental impairment, which has a substantial and long-term (i.e. has lasted or is expected to last at least 12 months) adverse effect on the person’s ability to carry out normal day-to-day activities.

Do you consider yourself to have a disbility or health condition?

Yes

Prefer not to say

Please indicate your disability (please select all that apply)

Vision (e.g. due to blindness or partial sight)

Hearing (e.g. due to deafness or partial hearing)

Mobility, such as difficulty walking short distances, climbing stairs, lifting and carrying objects

Learning or concentrating or remembering

Mental Ill Health

Stamina or Difficulty Breathing

Social or Behavioural (e.g. Autism, ADD)

Other

Prefer not to say

If other, please state

Caring responsibilities

Do you have any caring responsibilities?

Caring

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

VOLUNTEER DETAILS FORM

Driving Roles

Emergency Contact Details

References

Equality and Diversity Monitoring

Ethnicity

Disabilities

Caring responsibilities

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