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Your details

Preferred method of contact?
Has this person agreed to be your emergency contact?
Do you have a current UK Driving Licence?
If yes, do you have access to transport?

Your Volunteer Role

Volunteer role applied for, or roles that interest you: (You are welcome to tick more than one)
Where did you hear about us?

All about you


Equal Opportunities Monitoring

Age UK Herefordshire & Worcestershire pursues a vigorous equal opportunities policy, and we will not discriminate against potential volunteers on the grounds of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, sexual orientation. In order that we can measure the impact of this policy, and continue to develop and improve relevant personnel policies, could you please tick the relevant boxes.
All information given on this form will be used for monitoring purposes only, and will not be taken into account during selection.
Please select

DBS Information

Some of our volunteer roles are eligible for a Disclosure and Barring Service check. Organisations are entitled under the Rehabilitation of Offenders’ Act to ask the following question – and the potential volunteer is required to answer:

Do you have any convictions, cautions, reprimands or final warnings which would not be filtered in line with current guidance?
I give my ongoing permission to AgeUK H&W to carry out regular DBS Update Service checks while I am an AgeUK H&W volunteer. I understand that this data will be recorded and filed in line with the appropriate AgeUK H&W Data Protection policies.

Volunteer training:

We require all our volunteers to attend bitesize training, where you will learn more about volunteering and Age UK—Herefordshire & Worcestershire.

Thank you. We will be in touch shortly to complete your application process and arrange your training.

By clicking on the SUBMIT button below you are agreeing to the following: For us to store and securely share your information within Age UK H&W so they can process your application, support you in your role, and use the data for programme evaluation. We are required to store your application data for 6 years after your volunteering role ends to comply with Freedom of Information requirements. Your demographic information will be retained for research and monitoring purposes. You can get in touch at any time to view your data or unsubscribe from our communications by emailing or by calling 01905 740 950.

For further details on how your data is used and stored, please see our privacy policy at