Have you volunteered for Caring at Christmas since 2002?

Yes  No 

If you have used the night shelter as a guest in the past two years,
unfortunately you cannot volunteer for us this year.
Please do contact us in the future if you would still like to volunteer

Personal Details:

Title: _____ First name: ___________________ Surname: _______________________

First name by which you like to be known: _____________________________________

Address:______________________________________________________________

_____________________________________________________________________

_______________________________________________Postcode:______________

Phone No: Day _______________________ Evening ___________________________

Mobile_____________________________Email ______________________________
 

If we can send you information about Caring at Christmas via e-mail please tick the box  
(this will help us save on administration & postage costs)

You must be aged 16 or above to volunteer for Caring at Christmas.

If you are aged 16 or 17, please tick        date of birth (if under 18) __________________  

Name: __________________________ Relationship to you: ______________________

Phone No: Day _________________________ Evening _________________________
 

How did you hear about becoming a volunteer for Caring at Christmas?

_____________________________________________________________________

 If yes for collections, what dates would you be available in December?: ________________

Entertainment and services:
Do you, or do you know anyone who could provide entertainment (musicians, a group) or offer
a service (chiropody, hairdressing, counselling, physiotherapy) in our shelter? If so, please
provide details:

Name: ____________________________ Contact tel. no. ________________________

Details of entertainment or service: __________________________________________

Do you have any spare time in December to help with administration in the office, sorting
donations, preparing the shelter or taking part in fund-raising activities? If yes please fill in
the table below specifying when you are available to volunteer.
We will confirm if & when you are needed in writing.

 
How many shifts would you like ideally over the week?

If there is a someone else applying to volunteer that you would like to be on the same
shift as, then please state their name below. We will do our best to put you on the
same shift:

Additional help:
Are you willing to be called in at short notice if we find ourselves short of volunteers
on a particular shift? 
Yes                                    No      

Are there any times/dates when you would not be available? If yes, please give details:

_______________________________________________________________________

References:
If you are a new volunteer , please give the name and contact details of two people
we can contact for a reference: Family members not accepted

1) Name:                                                                     2) Name:

Occupation:                                                                     Occupation:

Address:                                                                          Address:

Daytime Tel no:                                                               Daytime Tel no:

Convictions:
All volunteers must complete this section

Have you at any time been convicted of any offence by any court ? Yes / No

If yes please give details:* _________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Why we require this information
*Organisations such as Caring at Christmas who are in contact with vulnerable groups are required to observe a duty of care; that is, they must take
all reasonable steps to protect any such people with whom they have contact. In the Rehabilitation of Offenders Act (1974), vulnerable groups are defined as:-

Where organisations have contact with vulnerable people, their volunteers are exempt from the Rehabilitation of Offenders Act (1974), and can be
asked to declare any previous criminal convictions. This information can then be used as a basis for deciding whether or not they are suitable for the work.
Therefore, please disclose fully all details
of any convictions you my have.

To assist us in the efficient organisation of our volunteer records, we keep essential details of each volunteer on our
computers. All such information is kept strictly confidential at Caring at Christmas and we do not share it with any other organisation.
If for any reason, you do not wish us to keep your details on our database, please tick:  

I declare that to the best of my knowledge the information on this application form is true.

Signed:_______________________            Dated:_______________________