All personal information will be treated confidentially

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Date	06.08.2017
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Volunteer Application Form

All personal information will be treated confidentially

Personal Details	Title: Ms/Mr/Mrs/Miss/Other	Name:
Address:
		Postcode:
Telephone:		Mobile:
Email:
Date of Birth:

Area of interest; please tick all that apply	Camera work	Film Editing
Sound	Animation	Documentary
Web support	Group work assistance - adults	Group work assistance - young people
Group work- children	Environmental education (Climate Change awareness)	Publicity/marketing
Training and education	Digital Photography	Performance
Fundraising research	Event support	Admin support

Further Information
When would you be available (approximate days of week/times of day/time of year):
Do you have any particular qualifications or skills you would like us to know about?
Have you any support needs if you volunteer with us?

References, criminal offences and CRB check

Due to the nature of some of our work with young people and vulnerable adults any past criminal convictions must be declared under exemptions to the provisions of the 1974 Rehabilitation of Offenders Act. Please state below if you have any criminal convictions. Disclosure of criminal convictions does not necessarily exclude you from volunteering with us.
Yes (further information will be required)	No
Signed:	Date

We will require any volunteers working with children and vulnerable adults to undertake a Criminal Records Bureau check.

References: Two people who know you well (for at least three months), not friends or family, who can comment on your character. Please seek our advice if this is difficult for you.
Name	Name
Contact Address Postcode: Email: Telephone:	Contact Address Postcode: Email: Telephone
Relationship to you:	Relationship to you:

Data protection
I understand Digital Voice will need to store information about me on a confidential database in relation only to my volunteering, in accordance with data protection legislation.
Volunteer declaration
The information I have given is accurate to the best of my knowledge.
Signed..............................................................................Date.........................
If completed with support, please add name of person supporting you to complete form
Name.........................................Signed................................Date.......................

Equal Opportunities Monitoring Form
Please complete the enclosed monitoring form which is treated as confidential as is for monitoring purposes only to help us work towards equal opportunities. Monitoring information
To help Digital Voice work towards equal opportunities please complete – all information will be treated in confidence and is for monitoring purposes only
Ethnicity

Chinese	White British	Asian/British Pakistani	Other White
Mixed White/Black African	Black/British African	White Irish	Asian/British Other Asian
Don't know	Black/British Caribbean	Mixed Other	Asian/British Indian
Mixed White Asian	Black/British Other Black	Other Ethnic Group	Asian/British Bangladeshi

Sexual Orientation

Bisexual		Gay		Heterosexual		Lesbian
Transgender		Prefer not to say

Do you consider yourself to have a disability?
The Disability Discrimination Act defines someone as disabled if they have a physical or mental impairment which has substantial and long term adverse affect on their ability to carry out normal day to day activities. (please tick as appropriate)
No
Yes- please give details
Prefer not to say
Age range

16-25		55-65
26-35		66 and over
36-45
46-55

How did you find out about us? Please tick

Internet search	Do-it website	Volunteer Centre	Digital Voice website
Word of mouth	Poster/leaflet	Presentation	Other-please specify

Directory: assets -> users
assets -> Number: caveat in the [Will/Will and Codicil/Estate of]
assets -> Invitation for Bid Calact/mbta for Standard Floor and Low Floor Rural Duty Vehicles ifb no. 12-03 November 14, 2012
assets -> 12 Step Retreats For Everyone in Twelve Step Recovery Ratner Fellowship
assets -> 12 Step Retreats For Everyone in Twelve Step Recovery Ratner Fellowship
assets -> Sigaccess annual Report
assets -> Central Government is expected to ask the seventh pay commission to consider merging 50% dearness allowance
assets -> List of accessible executive records
assets -> Emergency telephone numbers Call toll-free from anywhere in France
users -> Entrepreneurship and Capitalism Media Library Titles to Aid Class Lecture and Discussion

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