Volunteer Application Form Name Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Address* Street Address Address Line 2 City Region Post Code PhoneEmail* Are you interested in any particular type of volunteer role(s)? Gateway Advisor Generalist Advisor Receptionist Administrator Fundraiser IT support co-ordinator Other OtherDescribe any skills you have that would be useful for the role you wish to do. Some we have thought of include dealing with people face-to-face or on the phone, speaking or writing a language other than English, sign language, filing, research, using a computer. Is there anything you have done over the past few years that you would like to tell us about? For example: employment, work experience, volunteering, community activity (involvement in tenants’ associations, school activities, support groups, etc), caring for children, other relatives or a friend, classes, training courses. Why would you like to volunteer for us? What do you hope to get from volunteering for us? It is useful to know when you will be available to volunteer. Please indicate times when you are generally available or not available. References Please give the names and addresses of two people, other than your family, who can tell us about you – e.g. an employer, teacher or someone who knows you well. Ref 1Name First Last Address Street Address Address Line 2 City Region Post Code Email PhoneRef 2Name First Last Address Street Address Address Line 2 City Region Post Code Email PhonePlease tell us about any specific needs you would like us to take into account, either at the interview or if we offer you a volunteer role e.g. mobility. This information will be treated as strictly confidential.Volunteer Terms and Conditions and Declaration Please note: To ensure the safety of our clients, the Citizens Advice service requires that all volunteers who have direct access to clients, where any part of the work is primarily targeted at legally defined vulnerable adults or children, will have their criminal record checked. However, the Citizens Advice service is committed to the promotion and delivery of equal opportunities to volunteers and so has a policy to ensure ex-offenders are not discriminated against. All offences, other than sexual crimes against a child or vulnerable adult, will be treated on an individual basis taking into account issues such as the risk to the client, the circumstances of the offence (e.g. what it was, is it relevant to the volunteer role, how long ago it was) and the reputation of the bureau. Anyone with a conviction for a sexual offence against a child or vulnerable adult, whenever it was committed, is not considered suitable to volunteer within the service and will not be taken on by Burnley & Pendle Citizens Advice. Name* First Last * Typing your name denotes that you have understood and agree to the terms and conditions Date* DD MM YYYY
