Application form

VOLUNTEER/INTERNSHIP APPLICATION FORM

All information supplied on this form will be treated as STRICTLY CONFIDENTIAL.
Please complete this form in full.

Post applied for : (required)

Type: (required)

VolunteeringVoluntary placement Voluntary internship

How did you hear about us? (required)

Personal details :

Surname : (required)

Forename (s) : (required)

Preferred Title: Mr/Mrs/Miss/Ms/Other : (required)

Address: (required)

Postcode: (required)

Contact Phone Number: (required)

Email: (required)

Language Spoken and/or familiar with: (required)

Reasons for Volunteering / Voluntary Placement/ Voluntary Internship: (required)

Skills and Interest:

Please write about special skills, interest or hobbies, which you would like to use when volunteering with us (required)

Are there any particular skills you would like to develop by volunteering with St Vincent’s Family Project?

Applicant’s Referees:

Include the names, positions, postal addresses and telephone numbers of Two people (not relatives) from whom references can be obtained. One must be your most recent employer/school director/support worker/volunteer co-ordinator. We will make reference checks either by post, telephone or email.

Name: (required)

Address: (required)

Contact Phone Number: (required)

Email: (required)

Relationship to yourself: (required)

May we approach this referee before interview? (required)

YesNo

Name : (required)

Address : (required)

Contact Phone Number: (required)

Email : (required)

Relationship to yourself: (required)

May we approach this referee before interview? (required)

YesNo

Criminal Records Check.

Because of the nature of the work involved, the post for which you are applying is exempt from Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act (Exceptions) Order 1975 (as amended in 2013 by SI 2013 1198) http://www.legislation.gov.uk/uksi/2013/1198/pdfs/uksi_20131198_en.pdf.) This means that you are not entitled to withhold information relating to any convictions, cautions, reprimands or final warnings you may have had unless they are “protected” under the 2013 amendment referred to above. For more information see the Disclosure and Barring Service website at http://www.gov.uk/dbs Please also note that the successful candidate(s) will be required to obtain and provide to us with an Enhanced Certificate from the Disclosure and Barring Service.

Do you have any convictions, cautions, reprimands or final warnings that are not “protected” as described above? (required)

YesNo

Have charges pending consideration been made against you? (required)

YesNo

If ‘YES’ to either or both of the above, please provide details here

Privacy Policy

By submitting this form you give the Charity the right, under the General Data Protection Regulation, to process the information that you have given, including data of a sensitive nature, for processes relating to your application. Any processing of the data will be in accordance with the Charity’s Privacy Policy and the processing principles set out in the Act. Application forms of those who are unsuccessful will be destroyed after six months.

Declaration

I certify that, to the best of my belief, the information I have supplied is true and complete. I understand that if I give any false information; fail to disclose convictions/cautions/reprimands/final warnings (except where they are “protected”) or any convictions or prosecutions pending; may be disqualified from volunteering.

Also, I understand that the information will only be used for recruitment and selection purposes and that it will only be kept on file thereafter and not divulged to third parties. However, if I am appointed to the post then the information that it contains will be used to form part of my personal file (except for disclosure of information as applicable).

Full name : (required)

Do you agree with our terms and conditions? (required)

I agreeI disagree

Date: (required)

SVFP is committed to equal opportunities.