AbleCare Homes Volunteer Application Question Title * 1. Opportunity applied for Question Title * 2. Preferred location Belvedere Lodge, BS6 7JG Rosewood House, BS9 3AS Patron House, BS9 3RU Crossley House, BS36 1RF Hengrove Lodge, BS14 9BX Frenchay House, BS16 1NE Head Office Question Title * 3. Where did you hear about this role Question Title * 4. Your name Title First name Surname Familiar name - what do you like to be called Question Title * 5. Address Address * Address 2 City/Town * ZIP/Postal Code * Email Address * Phone Number * Question Title * 6. Date of birth Date / Time Date Question Title * 7. Nationality Question Title * 8. National Insurance number Question Title * 9. Do you have any disability which may require us to make any ‘reasonable adjustments’ under the Disability Discrimination Act? If yes, please provide details. Question Title * 10. About your availability: What days and times are you able to volunteer? Are you volunteering for a set period or an ongoing time?If set period please give dates: Question Title * 11. Current Employment or Education: Employer & Job Role Schools/University/College Question Title * 12. Have you any holiday booked? Yes No If yes please give dates Question Title * 13. Next of kin contact details for emergency Name * Address * ZIP/Postal Code * Email Address Phone Number * Question Title * 14. Spare time hobbies & interests Question Title * 15. Please give any other information you feel is relevant to this application Depending upon the nature of the volunteering opportunity we may require you to provide written references and obtain a DBS check. We will discuss this with you should there be a need to take this forward. Question Title * 16. Have you been vaccinated against Covid-19 and seasonal flu? Covid-19 First dose Covid-19 Second dose Covid-19 Booster Flu Done