Volunteer Application Form

Are you completing this form on behalf of someone else?
- Yes
- No
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Date of birth
MM slash DD slash YYYY

Tell us about why you would like to volunteer at the Hope Centre?
Tell us about any volunteering you have done in the past
If you are currently in employment, please let us know where
Does your current workplace have a Corporate Social Responsibility (CSR) contact
- Yes
- No
- N/A
If you mark yes, our Corporate Engagement Manager may contact you directly.
Do you have any skills / hobbies / experience that you feel would be relevant to your application to volunteer at Hope?

Emergency Contact Details

Please fill in this form so that in the event of an accident or emergency the Hope Centre can notify your partner or a member of your family. Please also fill in the section about known medical conditions if relevant. All information will be held in strictest confidence.
Name
First Last
Phone
Relationship
Any known medical conditions
Doctor / GP Name & Telephone Number

Declarations
Rehabilitation of Offenders Act 1974 – All information will be treated in the strictest confidence. Do you have any criminal convictions to disclose? If yes please give details in the space provided. PLEASE NOTE Having a criminal record will not necessarily prevent you from volunteering at the Hope Centre. If you have any concerns and wish to speak to the Volunteer Co-ordinator in confidence, please call on 01604 214300.

Personal Declaration
- I agree
I hereby apply to become a volunteer with the Hope Centre. I agree to abide by all Hope Centre policies and guidelines and understand that I have a responsibility for my own and others’ Health & Safety while volunteering with the charity. I will abide by the principles of volunteering outlined in the charity’s Volunteering Policy. • I understand that the Hope Centre may hold and use the data on this form for the purposes of managing, supervising and monitoring my work within the charity as well as for statistical purposes. • I understand that this information will be held securely on paper and on computer in accordance with the General Data Protection Regulation 2016. • I understand that the information provided may be shared with other organisations in the event of safeguarding escalation. Data will always be shared in line with legal obligations. • I understand that I reserve the right to view all data held by The Northampton Hope Centre at any time in line with their data protection policy. • I understand that I reserve the right to ask for all data held on me by The Northampton Hope Centre to be deleted at any time, though this may restrict my ability to volunteer. The information provided on this form will be processed in line with the General Data Protection Regulation 2016. please type full name in the space provided to agrree
Do you have a current DBS and if so please state when this requires renewal

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone
How long has this person known you & in what capacity?
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone
How long has this person known you & in what capacity?
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