Apply to Volunteer

Surname

First Name

Title Mr Miss Mrs Dr

Full Address

Email Address (If Known)

Telephone Number

Age 14-16 (parental permission required) 17-18 yrs Over 18 yrs Over 75 yrs

Do you have a current full driving licence? Yes No

Do you have use of a car whilst volunteering, if required? Yes No

What is your current status?

Do you have any unspent criminal convictions, cautions, reprimands, or warnings? (We require all volunteers to declare whether or not they have any unspent convictions, cautions, reprimands or warnings. Please note that applications are treated individually and having a criminal conviction will NOT necessarily prevent you from volunteering for Age UK Hertfordshire. Yes No

If 'yes', please supply dates and full details

Are there any health issues that may affect your voluntary work? (This information is required to enable us to assess whether there are any reasonable adjustments we could make to assist you.

Where did you hear about this volunteering role?

If 'other', please specify

When are you available to volunteer? Weekdays daytime Weekday evenings Weekends Occasionally Other

If 'other', please specify

Which role would you like to apply for? Please choose up to three. Active Ageing lunch club Benefits outreach IT Tech Office & admin Telephone Befriending Visiting Scheme Hertswise Hub Hospital & Community Navigation

Why do you wish to volunteer with us?

References. Please provide the names and addresses of three referees (not relatives) who have known you for at least a year and that may be approached to provide a character reference. If possible, please provide present or past employer.

PLEASE NOTE: These referees will NOT be contacted until you have discussed the volunteering role with a Coordinator and confirm that you are happy to proceed.

I give consent for Age UK Hertfordshire to approach the referees below:

Name

Email address (If Known)

Telephone number

In what capacity is the referee known to you?

Name

Email address (If Known)

Telephone number

In what capacity is the referee known to you?

Name

Email address (If Known)

Telephone number

In what capacity is the referee known to you?

Declaration This information is true and accurate to the best of my knowledge. I give consent for Age UK Hertfordshire to collect and store and use the personal information about me in accordance with General Data Protection Regulation 2018.

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Apply to Volunteer

Complete the below form online or click here if you would prefer to download your application.

Volunteer Application Form