Volunteer Application Form

Name(Required)

Prefix First Last

Address(Required)

Street Address City Postcode

Email(Required)

Phone(Required)

Date of Birth(Required)

Volunteers must be 18 years or over

I am a UK resident(Required)

Yes

No

I have a full driving license(Required)

Yes

No

I would like to volunteer(Required)

at sessions for children and young people

for SELFA’s Community Fridge

Other

My main interests are(Required)

I can offer the following skills, knowledge or expertise(Required)

Please provide contact details for two people we can contact to obtain a reference for you. At least one should be someone who knows you in a working/volunteering/educational capacity. Please do not give the details of a family member. By submitting this form you are giving your consent for us to contact your referees to request a reference.

Reference 1

Name(Required)

Prefix First Last

Relationship to you(Required)

Phone

Email(Required)

Reference 2

Name(Required)

Prefix First Last

Relationship to you(Required)

Phone

Email(Required)

Please provide the details of someone we can contact in the unlikely event of accident or illness while volunteering for SELFA.

Name(Required)

Prefix First Last

Relationship to you(Required)

Contact number(Required)

Mobile number(Required)

Are you able to lift and carry heavy boxes?(Required)

Yes

No

Other

If you have any particular access requirements or health conditions (eg medication or allergies etc) that we should be aware of, please state

Thank you

Thank you for your interest in volunteering with SELFA. If you’re interested in a role that involves volunteering with children and / or vulnerable adults, we will ask for information about current and spent criminal convictions. Having a criminal record will not necessarily exclude you from volunteering with us.

SELFA collects and processes personal information in accordance with Data Protection legislation. Information on how we use your data can be found in our privacy notice which available from the Downloads section of our website.

When are you available to volunteer?

Reference 1

Reference 2

Thank you