All details submitted will be treated as confidential.
FULL NAME *
ADDRESS *
POSTCODE *
DATE OF BIRTH *
TELEPHONE (HOME)
TELEPHONE (MOBILE) *
EMAIL ADDRESS *
First Language *
Other languages you are fluent in (please only complete this if you are happy to to be matched with someone with this language)
Emergency Contact Details *
Occupation *
CURRENT SCHOOL/COLLEGE/EMPLOYER DETAILS (If unemployed please state how long you have been out of work)
SUPPORT AND HEALTH NEEDS (Please tell us about any disability, health or extra support needs that we should be aware of when organising your volunteering, this could include allergy, illness, disability, phobia, dietary requirements etc.)
Tick the boxes of the roles you are interested in: Volunteer co-facilitator for coffee morningsVolunteer for stay and play sessionsOutreach volunteer on the mobile sensory bus. Driver or PassengerBefriending volunteerSaturday Family session volunteerSunday family session volunteerFamily Support VolunteerOffice Support VolunteerOther
If you chose other, please detail here what you would be interested in:
Please tell us why you want to volunteer * (D of E, improving employability, etc.)
What do you hope to achieve from the volunteering experience? (This can help us with a Personal Development Plan to help you achieve your goals)
Please tell us about any relevant skills and qualities
How do you want to get involved as a volunteer? (E.g. Friendship, Group Activities, Fund Raising)
How much time can you spend volunteering? (E.g. Weekends; Evenings; Weekly; Monthly; Holidays)
What do you like to do in your spare time? (E.g. Scouts, Gym, etc)
What part of Cheshire East would you like to volunteer in? Eg, Congleton, Macclefield, Crewe
Are you willing for us to arrange a DBS check on you? YesNo
If you have a subscription to the DBS update Service, please provide your reference number here so we can access your DBS information online.
Do you have a full driving licence? YesNo
Do you have access to a car? YesNo
Are you prepared to insure your car for Ruby's Fund business? YesNo
Do you have any criminal convictions or cautions? YesNo
The right to volunteer can be dependent on your citizenship and UK immigration status so please make sure that you are permitted, under the terms of your visa, to volunteer. If in doubt please contact the Home Office (https://www.gov.uk/government/organisations/uk-visas-and-immigration) for advice."
Are you permitted to volunteer in the UK? YesNo
Please tell us where you heard about Ruby's Fund
Please give us the names and addresses of two people who can provide references for you. These should not be friends or relatives but people who know you in a professional capacity, e.g. teacher, college tutor, careers officer, current employer.
Name *
Address
Postcode
Telephone
Email *
How long have you known this person?
How do you know him/her?
I wish to become a volunteer for Ruby's Fund. I understand that:
Confidentiality Agreement It is important that you treat all information about the families we support and your family, friends and other volunteers as confidential. Please tick this Confidentiality Agreement to confirm that you accept your responsibility to maintain the confidentiality about the families we support, your family, friends and other volunteers.
Click here to read the Volunteers Privacy Policy
I confirm that the information given on this form is, to the best of my knowledge, true and complete.
By ticking this box, I confirm I have read and understood this policy. I confirm I understand that Ruby's Fund is required to keep all information as shown in the table above and I understand that Ruby's Fund holds this information to comply with any statutory requirements in relation to my volunteering role
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