Volunteer Centre Profile Form

First Name *

Last Name *

Gender

Female Male Prefer not to say Self Define Other

Date of Birth *

Street Address *

Town / City *

Post Code *

District *

Phone Number *

Email *

Do You Drive? *

Yes No

Are You Willing/Able To Use Your Own Vehicle?

Yes No

Availability

Available For

Practical Support Remote Support/Virtual Roles

Please tell us about why you would like to volunteer?

Do you currently hold any other voluntary roles? (Y/N)

Yes No

If yes to the above, please provide further details

Do you have any unspent criminal convictions registered against you? *

Yes No

Are you aware of any current police investigation in the UK or any other country following allegations made against you? *

Yes No

Do you have access to video chat services?

Yes No

If yes, which video chat services?

Other chat service

Current Professional Skills

Other Current professional skills

Qualifications

Interests

Other Interests

What type of volunteering are you interested in?

Other type of volunteering you are interested in

I want to learn

My Employment Status

I understand that expenses payable for volunteer involvement may have an impact on any other payments I may be in receipt of. *

I understand that if I am successful I will be required to provide evidence of identification and address and may need to complete an enhanced DBS (criminal record) check. *

I agree that personal data relating to me which has been obtained by Communities 1st, including the personal data given by me on this form, may be held and processed either on computer or in manual records and may be disclosed to officers and authorised employees of Communities 1st and used by Communities 1st for any purpose relating to my voluntary work

Personal data *

Yes No

I agree that my data recorded here may be disclosed to member organisations of Communities 1st *

Yes No

Consent to Communications by Communities 1st and their partners regarding Volunteering in the community *

Yes No

I confirm facts included in registration form are true and complete *

Yes No