Volunteer Application Form Please fill in all the fields marked with (*). Personal details Title* Mr Mrs Miss Ms Dr Full name* House/flat number/name* Street* City* Post code* Gender* Male Female Age* 19 and under 20 - 29 30 - 39 40 - 49 50 - 59 60+ Current driving license* No Yes Details of driving endorsements Contact information Home telephone no. Mobile telephone no.* E-mail* Education and skills Educational background* Volunteer experience* Spoken languages* Current occupation* Volunteer interest 1) Please give details of why you think you are suited to working with revert Muslim women who need support and help; include any strengths you have, benefits you will bring to the charity etc.* 2) Please give details of the desired post within SOLACE that you believe you are suited to and areas you will help the organisation improve and meet its objectives.* 3) Please use the space to detail any other relevant information including your availability to work including times and days.* How did you hear about Solace?* Solace client Friend Volunteer/staff Google Facebook Instagram Twitter YouTube WhatsApp Mailing list Other ReferencesDue to the nature of the position we are required to have two references for each volunteer. Please provide details of two referees, one of these must be either an employer, previous volunteer manager, or community/character reference.First reference Full name* Telephone no.* E-mail* Second reference Full name* Telephone no.* E-mail* I have a valid CRB/DBS* No Yes Disciplinary Have you ever been disciplined/ dismissed or asked to resign in present or past volunteering roles? If you have please give full details. Health Do you or have you in the last three years, suffered from any physical illness, disability, mental or psychiatric disorder or impairment which could affect your ability to provide care to SOLACE clients.* No Yes If yes please provide details* Equality act 2010You’re disabled under the Equality Act 2010 if you have a physical or mental impairment that has a ‘substantial’ and ‘long-term’ negative effect on your ability to do normal daily activities. Using this definition, would you consider yourself to be disabled?* No Yes If yes, do you require any special arrangements to be made to assist you in attending an interview? Please provide details* Criminal recordThe provisions relating to the non-disclosure of criminal convictions, including official police cautions, do not apply to the position you are applying for. You must therefore disclose any criminal convictions or cautions, under the 1975 Exemption Order Section 12 of the Rehabilitation of Offenders Act 1974. Please note that due to the nature of the job we will carry out a DBS/disclosure check if your position is one that involves contact with clients on a regular basis. If you are found to have a criminal record and you do not disclose it on the application form it will seriously jeopardise your chances of securing a voluntary position with SOLACE. Have you ever been cautioned or convicted of a criminal offence at any time? Please include spent sentences. If yes, please give details of the caution/s or/and conviction/s and the date/s. DeclarationI declare that the information given on this application form is correct, and I understand that the information may be verified, where it is considered to be necessary. I also understand that the failure to declare any relevant information or make false entry on this application form could constitute as a criminal offence and cause your volunteering with SOLACE to come to an end. I am over the age of 18* How would you like us to keep you updated?We would love to keep you updated on what Solace is doing and how your donation/volunteer support makes a difference. Without your consent, we won't be able to.I'd love for Solace to: Email me Phone me SMS me Post to me Your personal information is safe with us. Check out our privacy policy. You can withdraw consent at any time by emailing info@solaceuk.org.Important: Your personal data is kept for as long as you continue to volunteer for Solace UK. Your data is shared only with those involved in your volunteering activities. We will review all volunteer applications annually and delete all information pertaining to dormant volunteers. It is within your right to request deletion of your volunteer application at any time by emailing volunteers@solaceuk.org Submit
