Volunteer With Us

Name *

First

Last

Current Address *

Address Line 1

City

State / Province / Region

Postal Code

Daytime Phone Number *

Evening Phone Number

Mobile Phone Number

Email Address *

Volunteer Role applied for and location *

Education and Training

Please give details of any education, or professional qualifications which might be applicable to your chosen volunteer role, or any other relevant qualifications, training or courses attended

Present Occupation (please click box as appropriate)

Employed
Student
Non-employed (not seeking paid work)
Jobseeker / Employment Support Allowance
Retired
Other (Please Specify Below)

Please note that if you are on any kind of benefits you must notify your Job Centre / Local Council (Housing Benefit) prior to commencement of volunteering

Other Occupation Information

Please give a brief summary of your previous employment

Have you ever volunteered before? (Give details)

What do you hope to gain from the volunteer experience?

What are your hobbies and interests?

Do you have a full driving licence?

Do you have any current endorsements?

Do you have use of a car?

Please note that if you use your car for the purposes of your volunteering role you may need to insure your car for Business purposes, please check with your insurer.

Do you know anyone who currently works for Fresh Start?

Have you ever been convicted of a criminal offence?

If ‘yes’ please give details below of any unspent convictions. Spent convictions do not have to be declared as the job is not one covered by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975.

Unspent Conviction Details

Where did you hear about this Fresh Start opportunity?

References

Please give details of two referees. Due to the nature of the service we provide we require one personal reference and one professional reference. The professional reference can be from an employer, former employer, colleague, ex colleague, a professional (e.g. Social Worker, Probation Officer, GP, Solicitor, Religious Representative, or Teacher), or anyone who has known you in a professional capacity. The personal reference can be from a friend but not a family member.

Personal Referee Name *

First

Last

Personal Referee Address

Address Line 1

City

State / Province / Region

Postal Code

Personal Referee Email *

Personal Referee Phone Number *

Personal Referee Occupation

Personal Referee Time Known

Permission to take up my Personal reference prior to an initial informal interview being undertaken *

I GIVE Permission
I DO NOT GIVE permission

PLEASE SELECT ONE OPTION FOR PERSONAL REFERENCE

Professional Referee Name *

First

Last

Professional Referee Address

Address Line 1

City

State / Province / Region

Postal Code

Professional Referee Phone Number *

Professional Referee Email *

Professional Referee Occupation

Permission to take up my Professional reference prior to an initial informal interview being undertaken (copy) *

I GIVE Permission
I DO NOT GIVE permission

PLEASE SELECT ONE OPTION FOR PROFESSIONAL REFERENCE

Data Protection

Information from this application may be processed for purposes registered by the Employer under the Data Protection Act 1998. Individuals have, on written request [on payment of a fee] the right of access to personal data held about them.

Consent

I hereby give my consent to Fresh Start processing the data supplied in this application form for the purpose of volunteer recruitment.

Declaration

I declare that the information given in this application is to the best of my knowledge complete and correct.

Signature *

Form 1. Volunteer Application Form

References

Data Protection

Consent

Declaration

Form 1.
Volunteer Application Form