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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

Your Hobbies and Interests (This is to help us match you with a client)


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. *Please note we are currently carrying out training online so you can leave the below question blank*


Age UK Herefordshire & Worcestershire (Age UK H&W) will store the information you have provided in order for you to carry out your role as a volunteer. All data will be stored securely and only shared with other organisations with your permission, or as necessary, such as for references relating to your application with Age UK H&W. You have the right to view the data we hold about you, or request that some or all your data is deleted at any time. Copies of our privacy notice and privacy statement are available on our website if you require further clarification.
Keeping you informed - We’d like to keep in touch with you about the vital work we do for older people, our fundraising appeals and opportunities to support us. We will never sell your data and we promise to keep your details safe and secure. If you are happy for us to do this, please let us know the best way to contact you by ticking the boxes below:

You can change your mind at any time by contacting us. For further details on how your data is used and stored:

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