Application for Volunteer Vacancy
Please complete clearly in black ink or type.
Behind Closed Doors
Personal Details
Surname:
First Name(s):
Address:
Phone Numbers:
Home:
Mobile:
Postcode:
Work:
Email Address:
Role Applied For :- Community Volunteer / Office Volunteer / Volunteer Outreach Supporter
(delete as appropriate)
Work Experience
Please provide details of any relevant work experience, paid or unpaid, relevant to the role applied for
Please provide brief details of any current employment.
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Education
Please list qualifications gained or currently being studied.
School/College/
University
Qualifications studied and level gained
Date
Relevant Training
Please list relevant training including short courses gained or currently being studied.
Course Title & Content
Training Organisation
Date & Length
Supporting Statement
Supporting Statement
Use this section to tell us why you wish to become a volunteer for Behind Closed Doors. Continue on a
separate sheet if necessary.
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Supporting Statement Continued
References
Please supply details of two references. These will not be contacted prior to interview.
Name:
Name:
Address:
Address:
Phone Number:
Phone Number:
Email address:
Email address:
How do you know your referee?
How do you know your referee?
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General Availability … please indicate which day you could offer a 6-hour block to volunteer
[PLEASE NOTE – All Volunteering takes place Monday – Friday; 8.30 am – 5.00 pm only)
Monday
Tuesday
Wednesday
Thursday
Friday
Morning
Afternoon
Additional Language Skills
□ Writing □
Language _________________________ □ Writing □
Language _________________________
Speaking
Speaking
□
□
Comprehension
Comprehension
Transport Options
Do you drive?
YES / NO
If YES, do you have the use of a vehicle?
YES / NO
If NO, which form of public transport is accessible for you …………. BUS / TRAIN
Rehabilitation of Offenders Act 1974
Because of the nature of BCD’s work, many of the posts are exempted from the Rehabilitation of Offenders
Act 1974. Therefore, please give details of any previous convictions, cautions, reprimands and final warnings
that you have received. An enhanced DBS (formerly Criminal Records Bureau) check will be carried out.
□
Do you have any current or previous convictions?
□ Yes
□
No
Are you aware of any police enquiries being undertaken following allegations made against you, which may
have a bearing on your suitability for this post?
□ Yes
□
No
If your answer to either question was “Yes” please give details below. Please note that evidence of a criminal
record does not automatically preclude applicants from being considered for a volunteering position.
Data Protection: In providing this information, BCD will protect rights provided under the Data Protection Act 1998.
The information will be used for the purposes of recruitment and will not be disclosed to any third party without
consent.
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Declaration
Behind Closed Doors’ (BCD) Volunteer Training is the third phase of the application process to become a
volunteer with our agency. (First - application, second – interview). During Volunteer Training you will learn
about our agency’s philosophy and approach to working with survivors of domestic abuse.
Your attendance on the Volunteer Training programme does not guarantee placement in a volunteer position.
Training provides an opportunity to ensure that your time will be well spent through volunteer work with BCD.
Throughout training, we’ll be assessing whether there is a good fit between you and BCD, and we’d like you
to be assessing this too. We respect your right to decide that BCD may not be the place for you and we ask
that you respect our right to make the same determination.
We ask, in signing this declaration, that you also accept that BCD have the right and responsibility to deny
your application because of violent history; attitudes, behaviours or beliefs that run contrary to the mission
and values of BCD.
We also take our duty of care for potential Volunteers very seriously. We know that the training and
subsequent support to vulnerable victims of domestic abuse is emotionally challenging and for this
reason we require all applicants to confirm that they have not been in an abusive relationship or
accessed support from any organisation for domestic abuse related issues in the two years prior to
application.
If selected, I undertake to work under the direction of the Management Team and to participate fully in the
programmes of training and additional support. If selected I will actively support the values, vision and
mission of Behind Closed Doors.
I confirm I have not been in an abusive relationship, or sought support for domestic abuse from any
organisation, in the previous two years.
I declare that, to the best of my knowledge and belief, the information provided to Behind Closed Doors is
correct and I will advise Behind Closed Doors of any material changes to this information during training
and/or in volunteering placement.
Signed…………………………………………………………….
Please return your completed application:
Date………………………………..
By Post: PARS Supervisor
Behind Closed Doors
P O Box 275
Leeds
LS19 9BN
By email: [email protected]
Thank you for taking the time to complete this application
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