Contact Details

Miss/Mrs/Ms/Mr/Dr/Other:
---MrsMrMissMsDr

First Name(s)*:
Surname*:
Address*:
Postcode*:
Preferred Telephone No*: Additional Tel. No:
Email*:
Confirm Email*:
Emergency contact name and telephone number:
Gender (optional):---MaleFemaleOtherPrefer not to say
Age (Certain roles require you to be over 18, or over 16, please specify below)14-1516-1718-2021-3031-4041-5051-6061-7071-8081+

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Volunteering Interest Area* - Please tick all that apply
AdministrationOrganising EventsHelping at EventsFundraisingYoung PeopleWorking with the CommunityCatering/ServeryManagement CommitteeIT SupportAdvice and SupportTrainingBefriendingWorking with Older peopleSupporting people with learning disabilitiesSupporting foodbank servicesCharity ShopsHomeless SupportChildren CentresSchoolsCustomer ServicesGardeningArt and CraftsLibraries Museums
Other interest area (please state)

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Availability:
Morning: MonTueWedThuFriSatSun
Afternoon: MonTueWedThuFriSatSun
Evening: MonTueWedThuFriSatSun

Flexible/Other Availability (please state)

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Additional Information

What previous employment or volunteering experience do you have?*

What skills or interests do you have?*

What do you want to achieve from your volunteering experience?* E.g. Help the community/Stay active/Gain experience

References – (If you do not have these, just leave blank)
Please provide the names and addresses of two references. Two referees must be given and at least one should be professional rather than personal. A professional referee can be your current or most recent employer (or tutor if you have recently finished full-time education) and your second referee should be either professional or personal. If you have no professional referee contact SECH.

Please include Name, Job Title, Company, Address, Tel. No, Email

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Equal Opportunities

South Essex Community Hub is committed to equal opportunities and all volunteer recruitment decisions will be based on merit, suitability for the role and experience. All volunteer recruitment decisions will not be influenced by race, colour, nationality, religion, sex, marital status, family status, sexual orientation, disability, age or membership of the Traveller Community. South Essex Community Hub fully endorses a working environment free from discrimination and harassment.

South Essex Community Hub are committed to standards of excellence in safe guarding practices. Where your volunteer role may have direct contact with children or vulnerable adults, unsupervised or supervising you will be required to complete DBS form by organization recruiting, please complete the question below.

Have you ever been convicted of an offence in the UK or elsewhere? (If you do have a previous conviction please continue as it may not impact your application)*

NoYes

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Certification Statement
By ticking the agreement and printing my name below, I certify that the information provided by me in this volunteer application form is correct and I consent to this information being shared with prospective volunteer organisations for them to contact me regarding volunteering work. I understand and consent to the sharing of my data for the sole purpose of my future volunteering role.

I agree to the certification statement above Yes

Print Name*:

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If you would like to be contacted with further opportunities and events, we require your permission to contact you for marketing purposes. If you consent to this, then please indicate how should we get in touch with you about further opportunities and events we believe would interest you? Please select below:

EmailTelephoneNo – I do not consent to marketing communications

Privacy policy: These details will be held for a maximum of 5 years under GDPR regulations. We will check these details are correct yearly.