Culture Team Volunteer Application Form
Your Details
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please confirm your age
*
I confirm I am over the age of 18
Address
*
Street Address
Address Line 2
City
County / State / Region
Postcode
Phone
*
Email
*
Emergency Contact
Name
*
First Name
Last Name
Emergency Contact Phone
*
Back
Next
Save
The Application
Which roles would you like to volunteer in? Your skills should match the role description
*
Culture Volunteer
Why would you like to volunteer for Culture Team?
*
Skills and Experience
We need you to specify how your skills and experience (work related or personal) match the role that you are applying for. If applying for multiple roles you must specify for each role otherwise we will not be able to consider you. Include details of any qualifications that you have that may help you as a volunteer.
*
When are you available to volunteer?
*
How many hours would you like to volunteer per week?
*
Do you have any access or medical requirements which we should be aware of?
*
Yes
No
Prefer not to say
Please give details of requirements
*
Do you have any criminal convictions? All information will be treated with strict confidence. A previous criminal record does not mean your application will be automatically rejected as each application is assessed on its own merits.
*
Yes
No
Please give details of criminal convictions but do not declare spent convictions
*
Back
Next
Save
References
Please give us the name and contact details of two people we can contact for a reference; they need to be over 18, must have known you for more than 2 years and should not be a family member. Where possible please provide an email address as primary form of contact.
Reference 1
*
First Name
Last Name
Phone
*
Email
*
example@example.com
Reference 2
*
First Name
Last Name
Phone
*
Email
*
example@example.com
Back
Next
Save
Equality and Diversity Monitoring
At Vision we aim to provide equal opportunities and fair treatment for all volunteers. All details are held in accordance with GDPR. We would like you to complete this form in order to help us understand who we are reaching and to better serve everyone in our community.
Ethnicity
Please Select
Indian
Pakistani
Bangladeshi
Chinese
Asian Other
Caribbean
African
Black Other
White & Black Caribbean
White & Black African
White & Asian
Mixed Other
White English
White Irish
White Scottish
White Welsh
White Other
Prefer not to say
Disability
Please Select
I am registered disabled
I am not registered disabled
Prefer no to say
The Disability Discrimination Act 1995 (DDA) defines a person as disabled if they have a physical or mental impairment which has a substantial and long term effect (i.e. has lasted or is expected to last atleast 12 months) adverse effect on one’s ability to carry out normal day-to-day activities. This definition includes conditions such as cancer, HIV, mental illness and learning disabilities.
Gender
Please Select
Male
Female
Non-binary
Other
Prefer not to say
Employment
Please Select
Employed Full-time
Employed Part-time
Non-Employed
Self-Employed
Unemployed
Retired
Student
House person
Unable to Work
Prefer not to say
How did you hear about volunteering?
Please Select
Word of Mouth
Vision RCL Website
Do More or Library Social Media
Press
London Borough of Redbridge Website
National Literacy Trust Website
Team London Website
Google, Bing, or other search engine
Radio
eNewsletter
Other Social Media
Other Website
Please verify that you are human
*
Save
Submit
Should be Empty: