childcare

Full Name:

Full Address:

Phone:

Volunteer or Mentor Interest (please select):

Availability (please select):

How Many Hours can you offer

What would you like to gain from volunteering

Please tell us a bit about yourself and Why would you like to be a Volunteer ?

Please tell us about the skills you have got, Don’t worry if you do not have all of the skills and experiences as you will learn them through Volunteering?

What Hobbies and interests do you have?

You don’t have to have any qualifications to train as a Volunteer but if you do please list them below

Is there any particular training you would like to do?

Do you have any physical or mental health needs which need to be taken into consideration when selecting tasks?

If Yes please specify

Have you even been convicted of any offences or subject to police caution, bind over or do you have any charges pending?

If yes please provide brief details

Do you have a recent disclosure and barring (DBS) form?

If yes are you on the update service?

I confirm that the personal information supplied is accurate. I am willing to abide by the rules and uphold the ethos of Lets Inspire. I understand my tasks with Lets Inspire may involve issues and situations of a sensitive nature and agree to maintain issues of confidentiality at all times. I agree that my basic records may be kept on computer/database under the provisions of the Data Protection Act 1998 and I agree also that I may be contacted in writing or by email and telephone. I understand that as an authorised volunteer all matters relating to members and clients must be treated strictly

Your details will be kept in accordance with the data protection Act 1998/2003. They will be held securely and confidentially. I declare the information I have provided is true to the best of my knowledge and by signing this form you also give permission for any checks to be made inline with this role.

Full Name

Job Role

Job Role:

Type of Reference

Type of reference

Full Address

Contact Number

Email

Email:

Consent:I declare the information I have provided is true to the best of my knowledge and by signing this form you also give permission for any checks to be made inline with this role.

Agree

Sign

Date

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