Eco-Schools Volunteer Assessor Application Form Full name: Title: Known as: Address: County: Postcode: Date of Telephone / Mobile No: Email address: Current Employer (name and address) Your present job title/occupation: Requirements for training course if applicable (diet/access): Assessment region (please highlight) London East Midlands North East East of England North West International South East Isle of Scilly South West Isle of Man West Midlands Jersey Yorkshire and Humber Are you willing to provide identification and references to Keep Britain Tidy in accordance with our safer recruitment policy? (Photographic identification, evidence of your most recent address, a passport style photograph Yes No and two references) It is an offence under the Protection of Children Act 1999 and Court Services Act 2000 to knowingly engage volunteers to work with children who have been convicted of specific crimes against children (including murder manslaughter, rape, grievous bodily harm and sexual offences) Do you know of any restrictions, such as being barred, which would limit where or with whom you could volunteer? Yes No
Eco-Schools Volunteer Assessor Application Form Full name: Title: Known as: Address: County: Postcode: Date of Telephone / Mobile No: Email address: Current Employer (name and address) Your present job title/occupation: Requirements for training course if applicable (diet/access): Assessment region (please highlight) East Midlands East of England International Isle of Scilly Isle of Man Jersey London North East North West South East South West West Midlands Yorkshire and Humber Are you willing to provide identification and references to Keep Britain Tidy in accordance with our safer recruitment policy? (Photographic identification, evidence of your most recent address, a passport style photograph and two references) Yes No It is an offence under the Protection of Children Act 1999 and Court Services Act 2000 to knowingly engage volunteers to work with children who have been convicted of specific crimes against children (including murder manslaughter, rape, grievous bodily harm and sexual offences) Do you know of any restrictions, such as being barred, which would limit where or with whom you could volunteer? Yes No