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VolunteerApplicationForm

Volunteer Application Form

All information will be treated in the strictest confidence.

Personal Details

Family Name(*)
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First Name(*)
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Home Telephone(*)
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Mobile Number(*)
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Age(*)
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Address(*)
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Postcode(*)
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Email Address(*)
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Please let us know immediately if any of your contact details change.

Availiability

Daytime (Mon-Fri) am:(*)
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Daytime (Mon-Fri) pm:(*)
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Evenings:(*)
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Weekends(*)
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Occasional(*)
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Roughly how many hours per week can you offer?(*)
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Services

Which Brookside Big Local volunteer role are you interested in volunteering for?

(*)

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In support of your application

Why are you interested in becoming a volunteer with Brookside Big Local?(*)
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What skills and qualities can you offer that will benefit your role as a volunteer with Brookside Big Local?(*)
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Useful information

Where did you hear about volunteering with Brookside Big Local?(*)
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Volunteer declaration

If accepted as a volunteer, I agree to abide by the policies and procedures of Brookside Big Local. I am volunteering my time for Brookside Big Local. I understand that in the course of my work I may learn certain facts about individuals being served by, employed by or volunteering with Brookside Big Local that are of a highly personal and confidential nature. I agree not to disclose any information of this nature to any person without the specific consent of the individual concerned.I confirm that the information given on this form is complete and accurate. Data Protection: I consent to Brookside Big Local holding and using my personal data in connection with volunteering.

Do you Agree with the statement Above?(*)
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Equal Opportunities Monitoring Form

Brookside Big Local is striving to be an equal opportunities partnership and welcomes applications from all sections of the community. To monitor how effective we are in offering equal opportunities we need to collect data about the volunteers who work with us. On receipt of your volunteer application this page is removed and kept separate from your volunteer details. This information is stored securely and confidentially, known only to the Community Project Officer.

Gender(*)
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Age(*)
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Sexual Orientation(*)
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Disability Status

Do you have a disability or long-term health condition?(*)

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Dependents

Do you care for any dependants?(*)
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Employment Status(*)
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Ethnic Group

Tick ONE category from A to F, then tick the appropriate box in the section beneath to give more detail.

A.White
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If Other Please Specify
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B. Mixed:
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If other Please Specify
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C.Asian, Asian British, Asian English, Asian Scottish, or Asian Welsh:
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If other please specify
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D. Black, Black British, Black English, Black Scottish, or Black Welsh:
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If other please specify
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E. Chinese, Chinese British, Chinese English, Chinese Scottish, Chinese Welsh, or other ethnic group:
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If other please specify
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Enter Text in box(*)
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