VOLUNTEER APPLICATION FORM

Complete this form to submit your application.

Please note that CVs will not be considered.

Name

Title First Surname

Address

Street Address Address Line 2 City Post Code Country

Phone (Home)

Phone (Mobile)

Email

About You

Are you in abstinence based recovery?

Yes
No

If yes, for how long?

Have you personally or indirectly ever been affected by addiction and/or recovery?

Yes
No

Comments

Do you have any disabilities we need to be aware of?

Yes
No

If yes, please explain

Do you have any convictions we need to be aware of?

All volunteers required a DBS check

Yes
No

If you do have a conviction please give details below:

Volunteering with Changes UK

Where did you find out about Changes UK?

Why do you want to volunteer with Changes UK?

Which volunteer role are you interested in and why?

What skills and experience do you think you could bring to the volunteer role?

What attracted you to the idea of volunteering at Changes UK?

Helping People
Career Development
Personal Development
Other

Knowledge/Skills/Experience

Use this space to tell us about any skills/experience that you feel would be an advantage to the organisation in your role as a volunteer.

Availability

Please tick availability

AM

PM

References

Please give the name, address and telephone number of two references (who should not be related to you).

Name of Reference

First Last

Position

Address

Street Address Address Line 2 City County / State / Region Post Code Country

Phone

Email

Please indicate relationship

Name of Reference

First Last

Position

Address

Street Address Address Line 2 City County / State / Region Post Code Country

Phone

Email

Please indicate relationship

DATA PROTECTION 1998:

The information on this form may be held on computer or other relevant filing systems and to be shared with other accredited organisations or agencies by Changes UK in accordance with the Data Protection Act.

DECLARATION

Falsification of information will result in your application not being pursued or your approval as a volunteer being terminated. Completion of this form does not guarantee approval to become a Volunteer. I sign to declare that to the best of my knowledge all of the information provided as part of the selection process is correct.

Date

VOLUNTEER APPLICATION FORM