Register to Volunteer Question Title * 1. Contact Details First Name Surname Address Address 2 City/Town County Post Code Email Address Phone Number Question Title * 2. What is your Date of Birth Date of Birth Date Question Title * 3. Gender Female Male Gender Neutral Transgender Other Rather not say Question Title * 4. Do you have a condition or disability which may directly affect your volunteering role? Yes No If 'Yes' please give a brief description. Question Title * 5. Which volunteer opportunity/area are you interested in? Early Help Hubs - Supporting activities with children aged 0-11 years old Working with young people aged 11-18 years old/Youth Work Older People's Support - includes home from hospital support and befriending Administration/Reception Sport/ Physical Activities Domestic Abuse - Supporting and visiting families at risk of Domestic Abuse Environmental/Gardening Social Media/Marketing Supporting people with disabilities Other (please specify) Question Title * 6. What would you like to gain from volunteering for Trafford Volunteering Service? Learn new skills Work experience Confidence Make a difference Meet new people/ Socialise Other (please specify) Question Title * 7. Do you have any special skills/experience that you would like to share for example: Organising events/Running activities Coaching Mentoring Cooking Gardening Social Media skills Listening Communicating Other (please specify) References - Please give details of two people who know you but are not related to you. The referees could be a family friend, employer, support worker or colleague. We will contact these people for a character reference if you volunteer. Question Title * 8. Referee 1 Full Name How does this referee know you? Address Address 2 City/Town Post Code County Email Address Phone Number Question Title * 9. Referee 2 Full Name Company Address Address 2 City/Town Post Code County Email Address Phone Number Question Title * 10. How did you hear about Volunteering? Thrive Trafford Website Web search i.e. Google, Bing etc Friend or colleague School/ College or University Word of Mouth Other (please specify) MONITORING AND EQUALITY To ensure equality and diversity across Trafford we request some monitoring of details these will be held separately and purely for monitoring purposes. PLEASE NOTE THIS SECTION IS OPTIONAL TO COMPLETE. Question Title * 11. Is your gender identity the same as the gender you were assigned at birth? Yes No Question Title * 12. Ethnic Origin White British White Irish Traveller of Irish Heritage Gypsy/Roma Polish Other White European Other White White and Black Caribbean White and Black African White and Indian White and Pakistani White and Bangladeshi Other mixed Asian British Asian Indian Pakistani Bangladeshi Kashmiri Other Asian Black British Black Caribbean Black African Black Somali Other Black Question Title * 13. Religion/Belief Buddhist Christian Hindu Jewish Muslim Sikh Other No Religion Question Title * 14. Sexual Orientation Bisexual Heterosexual/Straight Homosexual/Gay Lesbian Pansexual Other Question Title * 15. Is there anyone who relies upon you for care and attention and that you assist with their daily routine? Yes No Question Title * 16. If yes, please indicate who you provide care for Adults (18 and over) Children Other Many thanks for Registering to Volunteer. If you have any questions or need further information please contact a member of the Thrive Trafford team on info@thrivetrafford.org.uk or call 0330 123 9766. For further Volunteering Opportunities please visit www.thrivetrafford.org.uk or traffordvip.com Register
