Action Homeless Winter Shelter
Please fill out our application form to express your interest in volunteering at our Winter Shelter
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About You
Name: *
Age: *
Required
Email Address: *
Contact Number: *
Address: *
Emergency Contact Details. Please provide a name, relationship to yourself and contact details. *
Please select which evenings you can consistently commit to between 11th January and 31st March 2021:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Available:
Your Experience
Please list your work and voluntary experience over the last 5 years: *
Please list any Qualifications held: *
Let us know why you are interested in volunteering at the Action Homeless Winter Night Shelter: *
Please provide a description of any skills, hobbies or personal values that would be of value to guests of the Night Shelter: *
Please give details of any past volunteer experience or any experience of working with the homeless: *
Are you related to or do you know any members of staff or Trustees of Action Homeless? If so, who?
References
Please provide the names and contact details of two people whom me we contact to obtain a reference. Due to the vulnerable nature of our client base, we require references for all volunteers:
Referee 1: *
Referee 2: *
Data Protection Act
The information you provide will be processed in accordance with the General Data Protection Regulation. The application form is used for short-listing, interviewing and monitoring purposes. If you are not appointed, your form will be retained for a period of 6 months after which it will be disposed of securely. If successful volunteer applications are retained for the period of your voluntary work and afterwards for a period of seven years.

Please visit our website to see our full privacy notice for volunteers and those applying for voluntary work: http://actionhomeless.org.uk/privacy-policy/
Disability Discrimination Act 1995
Action Homeless welcomes applications from people who have any condition that falls within the Disability Discriminations Act 1995
Do you have a condition that falls within the Disability Act 1995? *
Required
If yes, please give details below, including any support you feel you may benefit from in undertaking this role:
Criminal Convictions & Cautions
The rehabilitation of Offenders Act 1974 aims to ensure that offenders who have not re-offended for a period of time since their conviction are not unfairly discriminated against when applying for work. You need only tell us about any unspent convictions you have in this section.
Have you been convicted by the courts of any criminal offence which is currently unspent? *
Required
Are you currently the subject to any police investigations following allegations made against you? *
Required
If you have answered YES to any the above questions, please give details of offences, penalties, dates and country in which they occurred, or of allegations made against you, in a sealed envelope marked CONFIDENTIAL with your name and the role you have applied for and post it to James Riviere, Action Homeless, Ridgeway House, Little Hill, Newton Lane, Wigston, LE18 3SE. Answering YES will not necessarily prevent you from being considered for the role.
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