VOLUNTEER APPLICATION FORM PERSONAL DETAILS Title: Mr/Mrs/Miss/Ms/Other* Surname:* First Name(s):* Address:* Phone Number:* Mobile Phone Number: E-mail Address: Date of Birth: ACTIVITIES (please circle any activities you are interested in. You may also want to enquire about volunteering in more than one area with us) Day Care Lunch Clubs Home Day Shop Roles REACH (Carlisle, Penrith, (Carlisle, Appleby, Care (Carlisle, Brampton, Home visits Appleby) Kirkby Stephen) Alston, Kirkby (Various Areas) (Carlisle, Penrith, Stephen, Penrith) Appleby) Information & Reception & Brampton Blue badge admin assistant Advice Shop mobility Dial-A-Ride Carlisle (Carlisle, Penrith) (Penrith) (Brampton) Penrith As we often have new services coming up, we may be able to consider you for new services that are being planned. Please let us know if there is anything not listed above you would like to do. ABOUT YOU In order to offer volunteer opportunities that are suitable to you - please let us know your interests, hobbies and skills, and what experiences you have that you would you like to share? (this may include qualifications, employment and other voluntary work) As an agency working with vulnerable people, certain volunteer roles are considered exempt from the provisions of the Rehabilitation of Offenders Act 1974 and any convictions must be declared. You must disclose all previous convictions; none of these may be considered spent. Have you ever been convicted, warned, reprimanded or
VOLUNTEER APPLICATION FORM PERSONAL DETAILS Title: Mr/Mrs/Miss/Ms/Other* Surname:* First Name(s):* Address:* Phone Number:* Mobile Phone Number: E-mail Address: Date of Birth: ACTIVITIES (please circle any activities you are interested in. You may also want to enquire about volunteering in more than one area with us) Day Care (Carlisle, Penrith, Appleby) Lunch Clubs (Carlisle, Appleby, Kirkby Stephen) Home Day Care (Various Areas) Shop Roles (Carlisle, Brampton, Alston, Kirkby Stephen, Penrith) REACH Home visits (Carlisle, Penrith, Appleby) Information & Advice (Carlisle, Penrith) Reception & Shop mobility (Penrith) Brampton Dial-A-Ride (Brampton) Blue badge admin assistant Carlisle Penrith As we often have new services coming up, we may be able to consider you for new services that are being planned. Please let us know if there is anything not listed above you would like to do. ABOUT YOU In order to offer volunteer opportunities that are suitable to you - please let us know your interests, hobbies and skills, and what experiences you have that you would you like to share? (this may include qualifications, employment and other voluntary work) As an agency working with vulnerable people, certain volunteer roles are considered exempt from the provisions of the Rehabilitation of Offenders Act 1974 and any convictions must be declared. You must disclose all previous convictions; none of these may be considered spent. Have you ever been convicted, warned, reprimanded or
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