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The information you provide on this form will be kept in the strictest confidence and will only be used to assist Parenting 2000 in ensuring volunteers are suitably placed.Contact and Personal DetailsTitle:First Name:Surname:Address:Postcode:Telephone:Mobile:Email:How did you hear about Parenting 2000?Availability & RoleWhen would you like to, or are available to volunteer? Please tick all the appropriate boxes.MonTueWedThuFriSatSunMorningAfternoonEveningParenting 2000 offers various volunteering opportunities including Office/Administration, IT, Tyred Rides, Counselling, Youth Work, Gardening and many more.What would you like to be involved in?Education & TrainingSetting(School, College, University etc.)Date FromDate ToQualificationOther relevant training. Please include organisations, date and duration. This can be paid work, voluntary work, placements. Please start with the most recent.Membership of Professional or Technical Bodies that may be relevant to the volunteer position.TitleDateLevel/GradeBy ExaminationYes/NoYes/NoYes/NoYes/NoYes/NoYes/NoPrevious Employment/Voluntary PositionsDate FromDate ToPosition HeldOrganisationExperience, Achievements & InterestsPlease give details of your sills and experiences, including any outside interests, which you feel are relevant to your volunteer application.DBS ChecksIt may be necessary to make DBS police checks for some of our voluntary opportunities, as these roles may be exempt under the Rehabilitation of Offences Act 1974.Please note that the fact someone has a criminal record does not automatically make them unsuitable for voluntary work. In deciding the relevance of convictions, the following points will be considered: nature of the offence, the frequency and pattern of the offence, and how long ago the offence was committed.Have you ever been convicted of a criminal offence?Yes / NoIf yes, please give brief details:ReferencesAs part of the selection process for volunteers, Parenting 2000 always asks for references to be taken. Please provide the details for two referees (do not include relatives or people under 18 years of age).First ReferenceSecond ReferenceNameJob Title (if applicable)Organisation (if applicable)Address:Email Address:Phone Number:Relationship to you(eg. Previous employer,university lecturer etc.)I hereby consent to the referees, whose names and relevant contact details I have set out above, providing a reference to Parenting 2000 for the purpose of assessing my suitability for volunteer work with the company. I authorise my referees to provide either written and/or verbal references including both employers and non-work related personal or character referees. I agree that any reference provided about me may include information related to (but not necessarily limited to) my job title and duties, dates of employment, reasons for leaving, competence, attitude, ability to manage workload and work without supervision, honesty, attendance record, timekeeping record, grievances raised and day and instances of sickness absence.Continued on the next page…I understand that I have a genuine choice as to whether I wish my references to referees to provide a reference about me. My explicit consent to the provision and release of references to Parenting 2000 by my referees is therefore freely given and informed. Finally, I understand that I have the right to withdraw my consent at any time and that I may do this by contacting my referees directly. I acknowledge that I have been notified that Parenting 2000 will process any references provided by my referees in accordance with the terms and privacy notice for volunteers that has been given to me. This sets out why Parenting 2000 wishes to process references about me and the lawful basis for doing so, ie. it is necessary for the purposes of Parenting 2000’s legitimate interests in conducting due diligence on prospective volunteers and assessing their suitability for employment.Name:Signed:Date:Other InformationAre you related to any member of the Trustee Board or staff? Yes/NoIf yes, please state to whom and the nature of the relationship.Please also complete the Equal Opportunities Monitoring Form that has been supplied with this application form.DeclarationI declare that the information given in on this form is, to the best of my knowledge, correct. I understand that canvassing, either directly or indirectly of any employee of Parenting 2000 or the giving of false or misleading information may lead to disqualification and if appointed, may lead to my dismissal.Furthermore, I understand that the information will only be used for recruitment and selection purposes and that it will only be kept on file by Parenting 2000 for 1 year thereafter, however if I am accepted as a volunteer, then the information that it contains will be used to form part of my personal file for employment purposes.Name:Signed:Date: ................
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