Application form

Where did you hear about Age UK East London?

Which volunteering opportunity would you like to apply for?

If there are any others, let us know here. *

Name *

Address *

Post code *

Home Tel No *

Mobile No *

Email *

Why are you interested in volunteering in this role? *

What skills and personal attributes could you bring to your role? *

What skills would you like to develop in your role? *

Do you speak any other language? *

What days & time of the week are you available? *

References

If you are able to provide one referee only, your submission will still be accepted - please proceed with the details you have available.

Referee 1

Name *

Address *

Post code *

Tel No *

Email *

In what capacity do you know the above referee? *

Referee 2

Name *

Address *

Post Code *

Tel No *

Email *

In what capacity do you know the above referee? *

Emergency Contact

Name *

Tel No *

Relationship to you *

Equality and diversity Form

At Age UK East London, we are committed to equity, diversity and inclusion (EDI). EDI is an organisational priority and as part of this we have a stated ambition to develop a workforce and volunteer pool that reflects our local community, at every level of our organisation. We’re asking you to complete this form at the recruitment stage to help us understand whether we are reaching a representative group of candidates, and to help us assess whether our recruitment processes are inclusive. We need your help and co-operation to enable it to do this, but filling in this form is voluntary. The information provided will be kept confidential and will be used for monitoring purposes and will be disposed of when the recruitment process is complete, and the anonymous data has been collated and reported to our EDI working group. If you have any questions about the form contact recruitment@ageukeastlondon.org.uk.

What is your sex? Male Female Prefer not to say

Is the gender you identify with the same as your sex registered at birth? Yes No Prefer not to say

If the gender you identify with is not the same as your sex registered at birth, please let us know how you identify, if you would like to: *

What is your age? 16-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+ Prefer not to say

What is your Ethnicity? Asian or Asian British: Bangladeshi Asian or Asian British: Pakistani Asian or Asian British: Indian Asian or Asian British: Chinese Asian of Asian British: Any other background* Black or Black British: African Black or Black British: Caribbean Black or Black British: Any other background* White British White Irish White Gypsy or Irish Traveller White Roma Mixed or Multiple Ethnic Groups: White and Black Caribbean Mixed or Multiple Ethnic Groups: White and Black African Mixed or Multiple Ethnic Groups: White and Asian Mixed or Multiple Ethnic Groups: Any Other Background* Other Ethnic Group: Arab Prefer not to say

*Any other ethnic group, please write in: *

Do you have any physical or mental health conditions or illness lasting or expecting to last 12 months or more? Yes No Prefer not to say

If the answer is yes, what is the effect or impact of your condition or illness on your work? Please let us know below: *

What is your Sexual Orientation? Heterosexual Gay Lesbian Bisexual Prefer not to say Prefer to use my own term

If you prefer to use your own term please write below: *

What is your Religion or Belief? No religion or belief Buddhist Christian Hindu Jewish Muslim Sikh Prefer not to say Other

If other religion or belief, please write here *

Consent form

In order for us to work with you, we need to record your personal details and information about the service(s) you are volunteering in. To comply with the Data Protection Act (2018) and the GDPR we must tell you how we use this data and ask for your permission. By ticking the boxes and signing this form you are providing your permission for us to process your data for the purposes below.

Do you consent to us keeping your basic details on our database for monitoring purposes? Your details will be kept confidential and not passed onto a third party. Anonymised data may be shared for monitoring purposes. Yes No

Would you like to receive our newsletter? Yes No

I give consent for Age UK East London to contact my referees via email or letter Yes No

Do you consent Age UK East London to carry out a Disclosure and Barring service (DBS) check (criminal record check). Yes No

Useful information about privacy and consent

What is personal and sensitive data? Personal data is data which can be used to identify you. This may include your name, date of birth, address, telephone number etc. Sensitive data is information related to any of the following: racial or ethnic origin, political opinions, religious beliefs, trade union membership, health, sexuality or sex life, offences and/or convictions. The kind of information we record and use It is up to you to decide what you share with us. Some information is personal, it could be used to identify you. This includes your name, date of birth, address, or phone number. Some may be sensitive information related to your racial or ethnic origin, political opinions, religious beliefs, trade union membership, health, sexuality or sex life, offences or convictions. How we’ll store your information We’ll store the record of your case in a secure case management system, which is only accessed by the Age UK East London staff and volunteers. How we might share your personal information We won’t share your personal information without your permission, unless we’re required to do so by law, for example in safeguarding situations. We will share anonymised (unnamed) information about you, how you contacted us, what type of volunteer role you are doing and the impact of your help to Age UK East London with our funders. How long will you keep my information? We will keep a copy of your information on our computer, database or paper files for 6 years after our last contact with you. If we do not hear from you for 6 years we will remove your information and destroy any paper records we are holding. Complaints handling procedure If you're unhappy with how we record and use your information please contact us at info@ageukeastlondon.org.uk or leave your comments through the feedback page.

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Application form

Please note that as part of our safe recruitment process, you will be required to attend one of our offices in person to verify your documents for the DBS check.

References

Referee 1

Referee 2

Emergency Contact

Equality and diversity Form

Consent form

Useful information about privacy and consent