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Volunteer Application Form

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Are you over 18 years old?
Yes
No
Do you have a current full UK driving licence?
Yes
No
Do you have the use of a car?
Yes
No

Your availability

Have you volunteered with the Self Empowerment Foundation at this or another location previously?
Yes
No

Your Health

It is important for you to tell us about any health conditions or additional support needs you may have so we can support you appropriately in your role. (Please be aware that due to the physical nature of some of our roles and the accessibility of some of our locations we may find it difficult to accommodate individual needs).


If you are applying for the Bridgnorth hub you will need to access this via a flight of stairs.

*Please be aware disclosures are strictly confidential. Where a health disclosure is made and to ensure volunteering is accessible, applicants will be referred to our Head Volunteer to ensure reasonable adjustments can be made in your role and work area.

Rehabilitation of offenders act 1974

Do you have unspent criminal convictions registered against you?
Yes
No

If yes, this may not prevent you from volunteering with us, but please provide details of any conviction, along with your application form in a sealed envelope addressed to; Head Volunteer, The Self Empowerment Foundation, Unit 1, Block B, Faraday Business Park, Faraday Drive, Bridgnorth, Shropshire, WV15 5BA

References

Please provide details of a referee and ensure you have their permission for us to contact them. Referees should include a previous employer, college/school tutor, a previous volunteer manager or someone

who holds a position of responsibility in the community. We cannot accept family members, partners or people you live with as referees.

Declaration

I confirm that I have completed this volunteer application with wholly accurate information at the time of submission and understand that failure to disclose information may affect my volunteer role with the Self Empowerment Foundation and may result in the offer of a voluntary role being withdrawn.

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Date
Day
Month
Year

When submitting this form electronically please type your name in place of a written signature, we will ask you to sign a printed copy if you are successful.

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