Age UK Surrey New Volunteer Registration Form

CONSENT TO HOLD DATA I CONSENT for my personal information to be stored for the purpose of providing my volunteering activities. Age UK Surrey would like to keep you updated about services, news, activities and events for volunteers. I am happy to receive information by EMAIL. Age UK Surrey would like to keep you updated about services, news, activities and events for volunteers. I am happy to receive information by POST. I DO NOT wish to receive information from Age UK Surrey about services, news, activities and events.

First Name:

Surname:

Gender:

Date of Birth

Ethnicity:

Address:

Telephone/Mobile Number:

Email Address:

Are you a car driver?

What distance are you willing to travel?

Which of these best describes your current situation?

What are your reasons for volunteering?

How did you find out about Age UK Surrey?

Which volunteering opportunity would you like to apply for?

Please tell us a bit about yourself, hobbies and interests, including any specialists skills and experience to support your volunteering role:

Your availability: Indicate AM or PM and times available and on which days:

In line with our policy we may require you to undergo a DBS check depending on the role. Please confirm that you agree to this:

Do you have any unspent convictions as defined by the Rehabilitation of Offenders Act 1974. If YES, please provide more details in a sealed envelope. (Please note that having a conviction will not necessarily stop you from volunteering).

Do you have any mobility problems? Any health needs that you want to share with us so that we can better support you?

----- If YES to the above question, please provide details:

Do you have a conflict of interest with any other organisation where you work or volunteer and what might this be? Yes No I certify that all of the information given on this form is correct. Name/e-signature: Date: (Please let us know if there is any change to this status)

----- If YES to the above question, please provide details:

Name and Email address of two referees, who have known you for at least two years and are NOT family members:

I certify that all of the information given on this form is correct. (Please print name and date):

Site Navigation

Volunteer Registration Form

If you are interested in Volunteering with us and would like to take the next step, please fill in the form below: