Volunteer application form

This is the latest version of the application form to volunteer to work in Dinas Powys Community Library. Copy and paste into your word processor.

Completed forms should be sent by email to either  pgauci@valeofglamorgan.gov.uk  or khatton263@btinternet.com or can be handed in at the Library for Phil Gauci's attention.

Applicants will be invited to the library for an informal meeting and training sessions.

VOLUNTEER APPLICATION FORM

Dinas Powys Library and Activity Centre

Name: _____________________________________________________________                                       

Date of Birth:__________________________________

Address:__________________________________________________________________________________________________________    

Postcode: ________________

Tel no (Day): _________________     (Evening): ____________________________

Email Address: ______________________________________________     

Emergency Contact Name: ____________________________________________

Relationship: __________________________   

Emergency Contact Number: __________________________________________

Please state any allergies: __________________________________________

Please state any health problems: ________________________________________________________________

How did you hear about the volunteer posts?

      Website       Newspaper         Event       Career Paths        Passing by

     College         Job Centre         Poster       Other ________________________

Times when you would be available to volunteer (Please tick when available)

	MON	TUES	WED	THURS	FRI	SAT	SUN
AM
PM
EVE

 

Please list any qualifications and skills you have that you consider appropriate

Please list any work or voluntary experience that you consider appropriate

Is there anything else you would like to tell us?

Would you be interested in attending accredited and non-accredited training opportunities that relate to your volunteering role?

YES                                 NO

If ‘YES’ are there any specific training needs that you wish to identify? Please specify below:

_____________________________________________________________ 

_____________________________________________________________ 

The nature of the work may bring you into direct contact with vulnerable adults and or children. We require details of two referees and references may be taken up before you will be able to volunteer. Must be someone who knows you well in a personal capacity.
Referee 1. Name: Address: Postcode: Telephone: How do they know you? How long have they known you?	Referee 2. Name: Address: Postcode: Telephone: How do they know you? How long have they known you?

REFERENCES

DISCLOSURE OF CRIMINAL CONVICTIONS

As this role may involve access to vulnerable adults/children, it is exempted from the Rehabilitation of Offenders Act 1974. Those offered a position will be required to undertake an Enhanced Disclosure from the Disclosure and Barring Service before the position is confirmed. The existence of a criminal record does not necessarily prevent work with The Vale of Glamorgan Council.

                                          (Please tick)

I have nothing to declare           £      

I have information to declare     £  (Give details of the offence on a separate sheet marked ‘Confidential’)         

DECLARATION

I declare that the information I have given is accurate and true and that any false or misleading information given on this form may lead to the offer of a placement being withdrawn.

I authorise The Vale of Glamorgan Council to make any appropriate checks necessary in relation to the post I am volunteering for.

I agree that personal date obtained by The Vale of Glamorgan Council relating to this application and the data provided on this form may be held and processed by The Vale of Glamorgan Council on computer or in manual records. It may be used by The Vale of Glamorgan Council for any purpose relating to this application. I give permission for the storage and processing of personal information by The Vale of Glamorgan Council.

Signed……………………………………………………………………………………………………

Date………………………………………

If you are completing this form electronically, please type your name to indicate signature.

For office use only:

Date form received in office:

Date of initial meeting / interview:

Has a suitable placement been agreed?

YES                                 NO

If ‘NO’ please give reasons why:

_____________________________________________________________ 

_____________________________________________________________ 

Date DBS completed:

Date volunteer placed:

Date induction completed: