Salvation Army Hadleigh Farm Rare Breed Centre V2 - Volunteer Application Form (If you need assistance to complete this form, please contact The Salvation Army centre and we will be happy to help. Literacy is not a requirement for most volunteering roles.) Personal details: Miss/Ms/Mrs/Mr/Other _________________________ First Name: _________________________________ Surname: ___________________ Address: ________________________________________________________________ ________________________________________________________________________ Postcode: _______________ Email: __________________________________________ Telephone (Home/Work/Mobile): ____________________________________________ Date of Birth:_____________ Gender: Male/Female/Prefer not to say (delete as appropriate) Occupation: _______________________________________________________________________ Organisation: ________________________________________________________ How did you hear about us? Advertisement Social Media Referred by a friend Referred by a Volunteer Volunteer Bureau Project Newsletter Other Centre/Corps _______________________________ Division: ______________________________ (Where appropriate) Is there a specific type of volunteer work in which you are interested? Adults Elders Teens Children Disabled Males Females Animals Not interested in working with service users No Preference Other I am applying for a specific named role: ________________________________ Please state if you are already involved in any Salvation Army activities: ________________________________________________________________ Please tell us when you will be available to volunteer by ticking the appropriate box (or boxes) below: Morning Afternoon Evening Comment Monday Tuesday Wednesday Thursday Friday Saturday Sunday How often would you like to volunteer? Weekly Block placement Fortnightly Monthly Seasonally Other (specify) Please give brief details of any previous voluntary experience (including dates): ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Tell us why you would like to volunteer at The Salvation Army. Please refer to the role descriptions to explain your suitability: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Skills and Interests: Please give brief details of any skills/interests (including languages) you have (eg cooking, driving, befriending, art, teaching, sport, animal care, gardening, retail, etc): ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ How long would you hope to commit as a volunteer with The Salvation Army? Three months Six Months More than a Year One-off events or sessions only 1 Year Don’t know as yet/will depend upon other factors As a Christian organisation, for some volunteering roles a commitment to the Christian faith (not to any specific denomination) will be required. However, we also aim to ensure that our volunteering base is diverse and adequately represents the wider community. In order to match your application to the most suitable opportunity it would be helpful if you would answer the following question Do you adhere to a specific faith? Yes/No If you answered Yes, please give some details. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ General Disclosures Do you have a current driving licence? Do you have a licence to drive a minibus? Yes/No Yes/No If you have a car/vehicle, would you be prepared to use it in your volunteering role? Yes/No Do you consider that you have any disabilities? Yes/No If Yes, please give details: ___________________________________________________________________________ Are there any restrictions on you working in the UK? Yes/No Is there anything that precludes you working with children or vulnerable adults? Yes/No Please state if you are barred from working with children or vulnerable adults If yes, please give details: Yes/No Rehabilitation of Offenders Act (1974) Exceptions Order (1975) In order to protect vulnerable clients it is necessary for checks to be made on all volunteers. If you are applying to volunteer with either children or vulnerable adults the work you are applying for is exempt from the provision of the Rehabilitation of Offenders Act. You are therefore required to disclose details of any convictions including ‘spent’ convictions. If you are applying for a role that is not with vulnerable adults or children then you need to declare any ‘unspent’ convictions. If you have been convicted of any offences please give details. Any information given will be kept confidential. (Please note: this will not necessarily prejudice your application). Has a previous organization where you were either an employee or a volunteer ever taken disciplinary action against you or are you currently subject to any complaints or investigations in relation to your conduct with children or vulnerable adults? Yes/No If yes, please give details: ___________________________________________________________________________ ___________________________________________________________________________ ________________ Declaration In accordance with the Data Protection Act (1998) The Salvation Army will hold your application form both on paper and in electronic format. Your contact details will be added to the mailing list, but will not be released to any third party. Application forms will be shared with your local corps officers or volunteer coordinator. I am committed to the aims of The Salvation Army including their commitment to protecting children and vulnerable adults. I have completed all sections of the application form accurately to the best of my knowledge and understand that to knowingly give false information or omit information is a breach of trust and could result in the ending of my volunteering relationship with The Salvation Army. I understand that if I am subsequently convicted of a relevant criminal offence I must declare this to The Salvation Army. Do you give consent to the above declaration? Signed: ______________________________________ Yes/No Date: ______________________
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