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Volunteer Application Form

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1. Personal information

First Name   Last Name  
Home Phone Number Daytime Phone Number  
Mobile Email Address  
Address   PostCode  
Date of Birth      

2. Application Information

Your Availability Monday Tuesday Wednesday Thursday Friday Saturday Sunday Varies
Please tick as appropriate
Experience, learning and skills to support your application
 

3. References

If you have worked in the past 5 years, at least one reference should be obtained from your last employer. If not, give the names of people who know you well. This can include family members.
Referee One   Referee Two  
First Name   First Name  
Address Address
Tel   Tel  
In what capacity do you know this referee? In what capacity do you know this referee?
   
Rehabilitation of Offenders Act 1974: Do you have any unspent convictions?  
If yes, please specify
Please note that a conviction will not necessarily exclude you from volunteering with SNAP Cymru, but will be taken into account when assessing your suitability

The information in this section is used only for the purpose of ensuring the effectiveness of our Equal Opportunities Policy, which is available on request. Please tick the appropriate box.
Gender   Age Group  
How would you describe yourself?
These categories of ethnic origin are recommended by the Commission for Racial Equality as the most appropriate for monitoring the UK
Asian or Asian British   Black or Black British
Indian Black Caribbean
Pakistani Black African
Bangladeshi    
    Mixed Race
White      
White British Chinese or other ethnic group  
White Irish Chinese
       
Other Ethnic origin      
Please Specify
       
Do you consider yourself to have a disability?  
If yes, please specify  
If yes, do you have any particular needs in relation to your disability?
Please discuss these with the member of staff supporting you.

5. Declaration

I understand that any offer of volunteering with SNAP Cymru is subject to satisfactory references, and binding in honour only.
In accordance with the 1998 Data Protection Act, I agree that SNAP Cymru may hold and use personal information about me for volunteering reason adn to keep in touch with me. This information, including that contained in this form can be stored on both manual and computer files. It will be held securely and only accessed by authorised personnel.