Volunteer Application Form

Please return this form via e-mail to: volunteer@lincsymca.co.uk or post to Volunteer Co-ordinator, The Showroom, Tritton Road, Lincoln, LN6 7QY

*Are Compulsory

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* 1. First Name:

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* 2. Surname:

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* 3. Names I have previously been known as:

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* 4. I prefer to be called:

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* 5. Current Address and postcode

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* 6. Home telephone number:

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* 7. Mobile Telephone number:

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* 8. May we contact you at work?

Yes

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* 9. Work Telephone number

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* 10. Email Address

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* 11. Date of Birth

Please answer DD/MM/YYYY

Date

You must be over 18 to volunteer with us unless accompanied by a parent or guardian.

Emergency Contact Details (Please ensure this person is aware you are giving this information)

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* 12. Name:

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* 13. Phone number

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* 14. Relationship

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* 15. Do you have any disability, which may affect your application?

Yes

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* 16. If YES please give details

We ask this question to enable us to consider any adjustments that we can make, either to the recruitment process itself, or whilst you are volunteering, to assist you.

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* 17. Do you hold a current UK driving licence?

Yes

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* 18. Have you had any previous contact, or do you have any current contact, with the YMCA?

Yes

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* 19. If YES please give details

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* 20. Role applying for:

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* 21. Supporting information for volunteer application

GDPR/Data Protection/Personal Information

We hold your information so that the volunteer coordinator can contact you to share important information, notify you of any changes in policy and make you aware of volunteering news, opportunities and social events. Your information will be held on a database and in paper form in a confidential file and may on occasion be shared with your onsite supervisor, other HR personnel and marketing department for purposes of reward, recognition and sharing good new or achievements. More information can be found on our website.

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* 22. Please tick to say that you are happy for us to hold your information and share it internally and with other volunteers in the circumstances specified above.

YES – I have read and understood the GDPR/Data Protection/Personal Information statement and am happy for YMCA Lincolnshire to hold use, and process my data as specified.

OR – I do NOT wish for my information to be shared with anyone other than the volunteer coordinator and on site supervisor

Declaration of Criminal Background Information

The Rehabilitation of Offenders Act 1974 sets out to help people who have been convicted of a criminal offence and have not been convicted again in a specified period. This period is known as a rehabilitation period. Once a rehabilitation period has expired and no further offending has taken place, a convictions considered to be 'spent'. Once a conviction is spent the convicted person does not have to reveal it or admit its existence in most circumstances.

The Rehabilitation of Offenders Act 1974 (Exceptions Order) gives some exemptions to the above explained procedure. Whereby details of 'spent' convictions still have to be declared. One of these exemptions is working with children, young people and /or vulnerable adults. When recruiting people to volunteer in positions where they may come into contact with these groups or individuals an employer is entitled to ask for details of all convictions, spent and 'unspent'.

If you are accepted as a volunteer we will apply for an enhanced level disclosure statement from DBS on your behalf. The disclosure service offers organisations a means to check the background of volunteers to ensure that they do not have a history that would make them unsuitable for the post.

Having a criminal record will not necessarily bar you from volunteering with us. This will depend on the nature of the position and the circumstances and background of any offences. However, we should make it clear that as the nature of the YMCA's work brings its workers and volunteers into contact with children, young people and/or vulnerable adults, a criminal record or other information which makes the application unsuitable for a position of trust will render the volunteer unsuitable.

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* 23. Have you ever had any unspent convictions, convicted by a court of law or cautioned, reprimanded or given a final warning by the police?*

Yes

(Note that the post you have applied for is exempted under the Rehabilitation of offenders act (Exceptions Order) 1974. Which means that all unspent convictions, cautions, reprimands and final warnings on your criminal record need to be disclosed)

*If any circumstances change which would affect your response to this question, you must inform the Human resources department without unnecessary delay.

If No please proceed to Question 25

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* 24. If you have answered yes please fill out below with details.

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* 25. Have you ever been disqualified from work with children or vulnerable adults or subject to any other sanctions imposed by a regulatory body?

Yes

If No please proceed to Question 27

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* 26. If you have answered yes please fill out below with details.

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* 27. Are you registered with the Disclosure and Barring Service (DBS) update service?

Yes

References – Contact by e-mail preferable

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* 28. Reference 1:

Name

Email Address

Telephone

In what capacity does this person know you?

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* 29. Reference 2:

Name

Email Address

Telephone

In what capacity does this person know you?

Declaration

I confirm that the information I have given on this form and any additional sheets or forms is correct and complete and I understand that any false information could result in my application being rejected or removal from volunteering opportunities.

I agree to YMCA Lincolnshire requesting references and carrying out a Disclosure and Barring Service check.

Volunteer Application Form

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* 1. First Name:

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* 2. Surname:

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* 3. Names I have previously been known as:

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* 4. I prefer to be called:

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* 5. Current Address and postcode

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* 6. Home telephone number:

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* 7. Mobile Telephone number:

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* 8. May we contact you at work?

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* 9. Work Telephone number

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* 10. Email Address

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* 11. Date of Birth

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* 12. Name:

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* 13. Phone number

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* 14. Relationship

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* 15. Do you have any disability, which may affect your application?

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* 16. If YES please give detailsWe ask this question to enable us to consider any adjustments that we can make, either to the recruitment process itself, or whilst you are volunteering, to assist you.

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* 17. Do you hold a current UK driving licence?

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* 18. Have you had any previous contact, or do you have any current contact, with the YMCA?

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* 19. If YES please give details

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* 20. Role applying for:

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* 21. Supporting information for volunteer application

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* 22. Please tick to say that you are happy for us to hold your information and share it internally and with other volunteers in the circumstances specified above.

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* 23. Have you ever had any unspent convictions, convicted by a court of law or cautioned, reprimanded or given a final warning by the police?*

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* 24. If you have answered yes please fill out below with details.

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* 25. Have you ever been disqualified from work with children or vulnerable adults or subject to any other sanctions imposed by a regulatory body?

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* 26. If you have answered yes please fill out below with details.

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* 27. Are you registered with the Disclosure and Barring Service (DBS) update service?

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* 28. Reference 1:

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* 29. Reference 2:

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* 30. Signed

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* 31. Date:

* 16. If YES please give details

We ask this question to enable us to consider any adjustments that we can make, either to the recruitment process itself, or whilst you are volunteering, to assist you.