Carers In Herts | Volunteer Application Form

Please complete all required fields!

Please use this form to register your interest in volunteering

Please indicate which type of activity you would like to be involved in by ticking one or more of the boxes.*

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Please let us know of any limitations in the times of day that you can volunteer.*

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Please let us know any other relevant details about your availability.

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Please let us know how often you would like to help (eg once a week).

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Title*

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FIrst name*

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Surname*

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Address*

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Postcode*

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Home phone number*

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Mobile phone number

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Email address*

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Previous experience relevant to the role.

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What do you hope to gain from volunteering?

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Please give details of any interests, skills, hobbies or experience which might be relevant.

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Do you have access to your own transport?*

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It may be necessary to inform your insurance company that you will be travelling to and from a place where you will be volunteering.

Are you aware of any health problems which could affect your voluntary work?*

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If yes, please give details.

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Do you have any criminal convictions/offences?
We are sure you will understand why
we have to ask this question. *

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Normally, ex-offenders are able to state that, following a period of time, which is offence free, they have no criminal record. However, the Rehabilitation of Offenders Act (Exceptions) Order 1976 does make certain exemptions. So, in order to apply through Carers in Hertfordshire, you must declare all convictions, even those considered to be spent, Having a criminal record does not preclude you from undertaking voluntary work but it might affect the nature of the work you can do. Please give details of any criminal offence on a separate sheet.

Please give names and addresses of 2 referees who have known you for at least 1 year and who are not related to you. (Make sure you have permission for us to contact them).

Please give the name and address, and email address of your first reference.

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In what capacity is this person know to you?

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Please give the name and address and email address of your second reference.

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In what capacity is this person known to you?

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