Volunteer Application Form

Community Kitchen

All details in this form will be treated as strictly private and confidential. Please complete all sections of the application.

PERSONAL DETAILS

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of birth (dd/mm/yy)

Contact number

(Home) (Mobile)

Email address

Church (if applicable)

If you work, which company do you work for?

How did you hear about us?

Are you a car driver?

If yes, are you happy to give lifts to and from Community Kitchen venues as / when required?

EMERGENCY CONTACT DETAILS

Name

Relationship

Contact number

(Home) (Mobile)

HEALTH

Do you have, or have you had any medical problems which may affect your work as a volunteer? Do you have any dietary requirements?

RELEVANT DETAILS

Do you have any experience, skills or qualifications which may be relevant to your role as a volunteer?

Any other information?

CONVICTIONS

Have you had any criminal convictions? (If ‘YES’ please give details separately)

This post meets the requirements in respect of exempted questions under the Rehabilitation of Offenders Act 1974, any applicants for this post who are offered employment or who become volunteers for this organisation will be subject to a Disclosure and Barring Service check before the appointment is confirmed. This will include details of cautions, reprimands or final warnings as well as convictions. A criminal record will not automatically bar a person from successfully taking up this post.

Yes

REFERENCES

Two references will be required. They should not be your spouse/ partner or relative.

REFERENCE ONE: Please provide NAME, CONTACT NUMBER, ADDRESS and EMAIL

REFERENCE ONE: How long have you known this person?

REFERENCE TWO:: Please provide NAME, CONTACT NUMBER, ADDRESS and EMAIL

REFERENCE TWO: How long have you known this person?

CONFIDENTIALITY AGREEMENT

In the course of your role you may have access to confidential information about our Link friends and sometimes other Volunteers. It is therefore vital that you treat all information about our Link friends and other volunteers as confidential. Our Link friends and volunteers must be able to have confidence that personal information is never released.

Please check the box below to confirm that you accept your responsibility to maintain the confidentiality of your Link friend and other volunteers.

I confirm

DATA PROTECTION

I agree that the personal information collected here can be held by The Link Visiting Scheme on computer systems and paper documents as required by the charity for its efficient operation, in accordance with the General Data Protection Regulation 2018. The information you have provided will not be disclosed to any outside organisation. More detail can be found on our policies, and the rights you have regarding your own personal information, online at www.linkvisiting.org/privacy, or on request directly from the charity by emailing us at admin@linkvisiting.org, or calling on 0118 9798019.

If you are happy for us to contact you in future to share general information and news about the charity and keep you informed about events we organise, please tick the box below.

Yes

DECLARATION

I confirm the information in this application form to be correct and any misleading or falsification of information may be proper cause for rejection or termination of this placement. I give permission for the information on this application form to be held on a computer.

I confirm