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Volunteer Form

Association of Carers Volunteer Application Form

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About You

If you need any assistance filling in this form or require it in a different format please call the office on 01424 722309

Name

First Last

Address

Postcode

Phone number

Mobile number

Please select your preferred communication method:

Phone

Post

Text

Where did you hear about us?

Please tick the voluntary roles that you are interested in:

Befriending with Respite Volunteer

Admin Volunteer

Talk and Support Volunteer

Volunteer Driver

Carers Café Volunteer

SCIPRR (Supporting carers to identify residential respite)

Social Media Volunteer

Community Fundraising & Publicity

Trustee

Computer Help at Home Volunteer

Respite for Healthcare Volunteer

Ambassador Volunteer

Online Zoom activity facilitator

Although we value everybody as an individual and understand people will have a range of knowledge and experience, there may be instances where we feel an applicant is not suited to the particular role(s) they have applied for. We may offer them the opportunity to volunteer in a different role or signpost them to other organisations where they can volunteer.

What has motivated you to volunteer for the Association of Carers (please tick all that apply):

Want to give something back

Retirement

Want to learn new skills

Want to gain experience

Getting back to work

Meeting new people

Other

What is your other motivation for applying?

Please tell us a little about yourself

Personal experiences that may be relevant to the voluntary work you wish to do

Professional experiences that may be relevant

Any hobbies and / or interests that you consider to be of importance to the role

If you have any health conditions that you feel may affect your ability to Volunteer, please describe them below

Have you any experience of being an unpaid carer? (caring for a family member, partner, friend etc.)

Yes

Please give brief details of your previous carer experience below

Do you consider yourself to have a disability?

Yes

Please give a brief description of this

Are you a willing car driver and would be willing to use your car to drive yourself to your voluntary placement?

Yes

How far would you be prepared to travel to carry out your voluntary role?

Please select the areas you are prepared to volunteer in

Hastings

St Leonard’s

Bexhill

Battle

Rye

Rural Rother

Lewes

Eastbourne

Hailsham

Uckfield

Crowborough

Seaford

Peacehaven

Forest Row

Newhaven

Polegate

Heathfield

Other

What other areas are you prepared to volunteer in?

Rehabilitation of Offenders Act 1974

Volunteers are required under the above act to declare any convictions they have had. We are required to carry out a Criminal Records Bureau check on all our staff and Volunteers and there is no time limit on convictions recorded by the Criminal Records Bureau.

Have you ever been convicted of any criminal offence?

Yes

Are there any alleged offences outstanding against you?

Yes

If you have replied yes to either, please attach further details in a sealed envelope marked Strictly Confidential addressed to the Charity Manager Louise Vladi.

A criminal conviction will not necessarily preclude you from acting as a Volunteer but failure to disclose any relevant information may prejudice your case.

Please indicate below if you would like to continue the process to becoming a Volunteer for the Association of Carers.

Consent

I would like to continue the process to becoming a Volunteer for the Association of Carers

References

Please provide the details of two people who you know well, (not relatives) who we can contact for a reference. Referees will be asked to comment on your integrity, reliability, and personal qualities. We would be grateful if you could let them know that we will be contacting them and obtaining their consent.

Name of first reference

First Last

Telephone number

Email address

Please state their relationship to you

Name of second reference

First Last

Telephone number

Email address

Please state their relationship to you

Monitoring Form

Gender

Man

Woman

Intersex

Non-binary

Prefer not to say

Other

Date of Birth

DD slash MM slash YYYY

Do you regard yourself as belonging to any particular religion or belief?

Yes

Prefer not to say

If answered yes to the question above, which one?

Buddhist

Christian

Hindu

Buddhist

Jehovah's Witness

Jewish

Muslim

Other

Prefer not to say

What other religion do you belong to?

What is your sexual orientation?

Gay

Lesbian

Bisexual

Prefer not to say

Other

Your ethnic group

Asian or Asian British - Bangladeshi

Asian or Asian British - Chinese

Asian or Asian British - Indian

Asian or Asian British - Japanese

Asian or Asian British - Pakistani

Black or Black British - African

Black or Black British - Caribbean

Black or Black British - Other Black background

Mixed - White and Asian

Mixed - White and Black African

Mixed - White and Black Caribbean

Mixed - Other Mixed background

White - British

White - European

White - Irish

White - Other

Other Ethnic Group

Prefer not to say

Data Protection Privacy Policy

The Association of Carers in order to provide services to support Carers, needs to collect and use certain types of information and photographs about Carers, the people they care for, staff, Volunteers, supporters, and other individuals who come into contact with the Association.

This personal information will be dealt with properly however it is collected, recorded and used.

The Association of Carers recognise that we have a duty to:

Obtain information and process it fairly and lawfully.
Ensure that information will be adequate, relevant and not excessive for the purpose and accurate and up to date.
Not keep information for longer than is necessary.
Only process relevant information in accordance with the rights of the individual
Keep information safe from unauthorised access, loss, or destruction.

The information we hold about people is always stored securely and access is restricted to those who have a legitimate need to know. As an organisation we are committed to ensuring that all those whom we store data about, understand how and why we keep that data and how they may have access to it. We will not transfer data to third parties without the express consent of the individual concerned.

Archived records are stored securely and the Association of Carers has clear guidelines for the retention of information.

The Trustees of the Association of Carers recognise its overall responsibility for ensuring that the organisation complies with its legal obligations. The Data Protection Officer (DPO) is the Director of Charity.

All staff and Volunteers are required to read, understand and accept any policies and procedures that relate to the personal data they may handle in the course of their roles.

We will regularly review our procedures for ensuring that our records remain accurate and consistent and in particular:

IT systems will be designed, where possible to encourage and facilitate the entry of accurate data.
Data on any individual will be held in as few places as possible.
Effective procedures are in place so that all relevant systems are updated when information about an individual changes.
Training will be provided to all relevant staff and the DPO will monitor data security.
You are under no obligation to provide such information. However, if you should choose to withhold the requested information, we may not be able to offer you certain services.

Consent

I accept the above Data Protection Policy and agree to the AOC holding my details on their secure files and database

Volunteer name

First Last

Date

DD slash MM slash YYYY

If you have a complaint at any time about the manner in which we have processed your personal data, your personal details change, or you would like a copy of the details the AOC holds about you, then please contact the DPO- Louise Vladi on 01424 722309.

This policy will be reviewed annually.

Volunteer Form

Association of Carers Volunteer Application Form

About You

Please tell us a little about yourself

Rehabilitation of Offenders Act 1974

References

Monitoring Form

Data Protection Privacy Policy

Association of Carers

Support for Carers

Useful Links