Volunteer Application Form
Thank you, for your interest in volunteering for Simon Says. Please complete the application form and we will then arrange to meet up and discuss next steps. If you would like to have a chat prior to completing the application form please feel free to call the office on 01794 323934 (Monday - Wednesday) or email volunteers@simonsays.org.uk

Process for an application: Complete the application form, informal chat, DBS checks carried out, 2 day training course and then get started!

We look forward to hearing from you and welcoming you to the team.
Full Name: *
Your answer
Address: *
Your answer
Contact phone number: *
Your answer
Email address: *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Do you have a disability? (If so, what support can we offer you in order to help you volunteer?) *
Your answer
Have you suffered a bereavement in the last two years?
Do you have a current enhanced DBS for child workforce? *
If yes, are you on the update service? Please supply your certificate number.
Your answer
What is your current occupation? *
Your answer
Do you have previous experience working with children, illness or bereavement or in the voluntary sector? *
Your answer
Tell us about yourself! Skills – interests – hobbies ……… *
Your answer
What motivated you to volunteer with Simon Says? *
Your answer
Which area(s) of volunteering are of interest? *
Required
When are you free to volunteer? *
Required
How did you hear about Simon Says? *
Your answer
Declaration of Criminal Record
As a charity for children we have a duty to protect the children and young people that we work with. Therefore all paid and unpaid roles are exempt from the Rehabilitation of Offenders Act 1974. All convictions both spent and unspent, must be disclosed. A criminal record does not deny people the chance to volunteer with Simon Says, except in the case of offences against children or withheld information on any offence.
Have you ever been convicted of a criminal offence, cautioned, reprimanded or given a final warning by the police, or do you have any court cases pending? *
If YES, please give details below with dates of offences, sentences, cautions, reprimands, final warnings and court cases pending:
Your answer
Is there anything else of this nature that you feel we would want to know, or that you ought to tell us about?
Your answer
References
Please provide details of two people who would be prepared to provide a reference (excluding family members) who know you well. If you have worked in the past 5 years, at least one reference should be from your last employer.
Referee One
Name *
Your answer
Job Title *
Your answer
Email Address *
Your answer
Contact phone number
Your answer
How long have you known this person and in what capacity? *
Your answer
Referee Two
Name *
Your answer
Job Title *
Your answer
Email Address *
Your answer
Contact phone number
Your answer
How long have you known this person and in what capacity? *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of SIMON SAYS. Report Abuse