Volunteer Registration

Personal Details

Full name: *

Address: *

Daytime telephone number: *

Email address: *

Availability

Please let us know your when you are available to volunteer.

Please select (hold down shift and click to select more than one): *

Your skills and interests

Are you applying for a specific vacancy, or do you have specialist skills and interests that you would like to use when volunteering for Ellingham? *

Are there any particular skills you would like to develop by volunteering with Ellingham?

Tell us about any relevant previous experience you may have:

Criminal Records Check

Due 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)? *

YesNo

If yes, please describe:

Confirmation

Your 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. *

Yes

Date: *

Send