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On-line Volunteer Registration Form

The form must be completed in one session, so you may need to gather the following information before starting:

  • Contact details of two people who would agree to provide a reference. (They must have known you for at least 2 years and MUST NOT BE FAMILY MEMBERS.)
  • Contact details of one person who is your nominated emergency contact.
  • If you have been convicted in court of any offence(s), details of any such offence(s).

When you have submitted all of the required information, click the 'Submit' button and we will be in contact with you as soon as possible.

PERSONAL DETAILS

Do you have any health problems which would affect your voluntary work?

INTEREST, SKILLS AND EXPERIENCE

Do you have a full current driving licence?

We will only use this information for the purpose of Volunteering with Age UK North Tyneside or EveryDay Care and will not pass or sell the details to any other third party organisation or person.

Do you have your own transport?
How did you find out about volunteering with Age UK North Tyneside?

VOLUNTEERING AVAILABILITY

How often would you like to volunteer?
Would you like to volunteer throughout North Tyneside?
Would you be willing to help out from time to time with Events, Fundraising or join our review panel. ?

VOLUNTEER ROLES

Below is a list of the volunteer roles available at Age UK NorthTyneside. The specifications for each role may vary in hours, location, any experience required etc.. Not all roles may have vacancies, so please tick those which you would be interested in pursuing and note any special preferences in the box below.

Volunteering choices

REFERENCES

Please give details of two people who would provide a reference. They must have known you for at least 2 years and MUST NOT BE FAMILY MEMBERS.

If your circumstances mean that you are unable to provide current references, we will be happy to discuss this further with you.

Reference 1

Reference 2

EMERGENCY CONTACT 

Has this person agreed to be your emergency contact?

REHABILITATION OF OFFENDERS ACT

N.B. Under the provisions of the Rehabilitation of Offenders Act 1974 (Exceptional Order 1975) applicants are required to disclose information concerning convictions including those which for other purposes are regarded as spent under the Act. ie. All convictions, spent or unspent, must be declared on this page. Age UK North Tyneside requires that applicants declare all spent and unspent convictions, cautions and reprimands. if you take up an appointment with Age UK North Tyneside and fail to disclose such information, this could result in dismissal or disciplinary action. Any information divulged will be treated in strict confidence and will be considered only in relation to application for posts subject of the provision of the above order.

Have you been convicted in court of any offence?

STORAGE AND USE OF  YOUR INFORMATION

Please indicate if you agree that we may:

Keep basic information from this form on our CRM (computer system)?
Send you regular updates about our up and coming events or new activities?
Send you information about our services?

I declare that the information set out in this registration form is true in all respects, and that false information will jeopardise my appointment as a volunteer for Age UK North Tyneside.