Your details
Are you aged 18 years or over?*
Title:*
First name:*
Surname:*
Date of birth:
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Address:*
Postcode:*
Email:* Must be a valid email address
Telephone number:*
Mobile number:*
How did you find out about this volunteering opportunity?*
Role:*
Befriender
Youth worker
Shop Volunteer
Other
Please detail any experience that you have which might help us to place you appropriately?*
If you have been granted the right to work in the UK, please give the name of the permit holder and the expiry date below. (please complete this form if you are a non EU resident or passport holder) Required if yes selected above
If you answered 'yes' to any of the above questions, please give details
If yes, please give details below Required if yes selected above
Which day(s) / times are you available to volunteer? (eg Monday evenings, Saturday mornings)*
If you are applying to volunteer in our shops, which location would you prefer to work in?
What skills would you bring to the Octavia Foundation team?*
References
Please provide details of at least two referees who have known you for at least three months, to cover a two year period. One must be a previous employer, supervisor or tutor. If you have not been in employment or education throughout the last year, please supply details of a personal referee (other than a relative).
Please note, we are unable to process your application without details of at least two referees.
Reference 1
Name:*
Address:*
Telephone number:*
Email address:*
Relationship to you:*
Reference 2
Name:*
Address:*
Telephone number:*
Email address:*
Relationship to you:*
Declaration
The information I have given in this application is, to the best of my knowledge, accurate and complete. I understand that any subsequent agreements may be withdrawn if any of this information is found to have been falsified. I also understand that any voluntary work will be subject to satisfactory references and I have given my consent under the Data Protection Act 1998.*
I confirm that I have read and understood the role profile for the voluntary role that I am applying for.*
Equal Opportunities monitoring
Any information given is treated in confidence, and is used for monitoring purposes only. The Octavia Foundation is committed to providing equal opportunities and access to our services to all sections of the community. Please assist us to monitor our progress by completing this form. Your information will be treated in the strictest confidence and is not shared with third parties.
What is your gender?
Female
Male
Transgender
Rather not say
What is your sexuality?
Heterosexual
Lesbian
Gay
Bisexual
Rather not say
What is your ethnic background?
White
Mixed / Multiple ethnic groups
Asian
Asian British
Black African
Black Caribbean
Black British
Other ethnic group
Rather not say
Do you have a disability?
Yes
No
Rather not say
If you answered 'yes', please state:
Date of birth:
What is your religion?
No religion
Christian
Buddhist
Hindu
Jewish
Muslim
Sikh
Other (please state)
Rather not say
Please state - if other selected: