Thank you for your interest in volunteering with us. Please complete all sections as fully as possible to help us find the right opportunity for you. All information given will be treated in confidence and is covered by the Data Protection Act.
PERSONAL DETAILS Forename(s):
Preferred title:
Surname:
Date of birth (if under 18):
Address:
Telephone number (Home):
Postcode:
Telephone number (Mobile):
Email:
MY INTERESTS I am interested in volunteering because:
I have the following skills/ experience I would like to offer Lighthouse:
What would you like to gain from volunteering at Lighthouse? This may be such things as Arts Awards/ Duke of Edinburgh/ work experience for job or University applications or just friendship.
Lighthouse Volunteer Application Form November 2016
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AVAILABILITY Please tick your expected availability. Don’t worry if you are not always available, you will have the chance to state your availability for individual weeks. Mon
Tues
Wed
Thurs
Fri
Sat
Sun
Mornings Afternoons Evenings
REFERENCES Please let us have the details of two people who can tell us about your ability to do the role you are applying for. Name:
Name:
Address:
Address:
Postcode:
Postcode:
Telephone No.:
Telephone No.:
Email:
Email:
How do you know this person?
How do you know this person?
ADDITIONAL INFORMATION Access Requirements/ Health Conditions If you have any access requirements or health conditions that we should know about, please tell us here. This will not affect your application; this information will help us to ensure that we give you the right task(s).
Do you have any unspent convictions under the Rehabilitation of Offenders Act 1974? Yes
/ No
If yes, please summarise details below. Having a conviction will not necessarily stop you from volunteering, but will need to be taken into consideration when assessing your suitability.
Are you legally entitled to volunteer in the UK? Yes
/ No
If you are from the European Union, you are free to volunteer in the UK. For those from outside the EU, you will need to check that your visa allows you to volunteer. We advise that you contact the UK Borders and Immigration Agency to find out. Lighthouse is not able to sponsor volunteer visas.
DECLARATION OF INFORMATION I confirm that all the information given by me on this form is correct and accurate and I understand that if any of the information I have provided is later found to be false or misleading, any offer of volunteering may be withdrawn or terminated. Signature:
Date:
Please return your completed form by post to: HR Department, Lighthouse, 21 Kingland Road, Poole, Dorset BH15 1UG Thank you, we will be in touch soon. Lighthouse Volunteer Application Form November 2016