Volunteer application form
Please complete your details and our volunteer co-ordinator will be in contact with you soon.
Email address *
First name
Surname
ID Number
Are you volunteering in your personal capacity or for your company CSI? *
If volunteering for a company, please confirm name of company
Country of birth
Cell number
Postal address
How regularly do you wish to volunteer?
What times are you available?
Please select all that apply
Morning
Midday
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Project team/s of interest
Role of interest
Special skills I can offer
Formal qualifications (if any)
Are you under 18 years?
Do you currently have a valid driver's license?
Do you have the use of a car?
What interests, skills and experience could you bring to our organisation / projects?
Do you have any special requirements or health issues that you would like to tell us about or that may have an impact on any activity that you may do?
What are you hoping to gain by working with Learning in Reach?
If you were to acquire a particular skill / behaviour that would benefit you the most, what would it be?
What is for you, the single biggest benefit of that skill / behaviour?
Please give us two references (name, address, tel / cell, relationship and how long you've know them).
Both should know you well and for a minimum period of one year. No family members will be accepted. We will only contact them if you are accepted as a volunteer.
Employment status
Clear selection
Data Protection Act
Your personal details will be treated as confidential and kept for no longer than necessary. If you are accepted as a volunteer the information you have provided on this volunteer registration and monitoring information form will become part of your volunteer records which will be used to plan and record your practical involvement as a volunteer.
Would you like to be contacted with information about fundraising events and volunteering activities other than the one you have applied for? If yes, please tick one of the boxes below if you are happy to be contacted by: *
Required
Photo use permission *
The volunteer agrees that photographs taken by LEARNING IN REACH can be used for dissemination on the internet and social media platforms including Facebook, Twitter and third party blogs.The volunteer agrees that no payment will be made for photographs taken by LEARNING IN REACH even if they are printed in mass media including newspapers, magazines and online platforms.LEARNING IN REACH agrees to remove any identifying names or facility branding from pictures before publishing.LEARNING IN REACH agrees not to divulge any information regarding the child in any photograph. 
Required
Indemnity *
I, the undersigned, hold harmless and indemnify Learning In Reach NPC, its trustees, members, servants and employees in and parties involved with and/or arranging events which I am attending of my own accord, against and including (without limiting the generality of the aforegoing) any loss of or damage to personal effects, financial loss, illness, injury, harm, trauma or death (howsoever caused) including any claim from my wife/husband, children or dependents, common law wife/husband or life partner for maintenance, pain and suffering as a result of injuries or otherwise may incur. In an event of emergency please contact:
Required
Volunteer Confidentiality Agreement
1. Background:

1.1 The Volunteer has agreed to participate in Learning in Reach’s volunteer activities, for civic, charitable, or humanitarian reasons, without promise, expectation or receipt of compensation for services rendered.

1.2 In the course of this participation, the Volunteer may gain access to data, materials, knowledge, and proprietary information generated through, originating from or having to do with the volunteer activities or with persons associated with the activities, including but not limited to Learning in Reach or its contractors, suppliers, directors, employees, beneficiaries and volunteers.

2. Learning in Reach’s Confidential Information:

2.1 Learning in Reach’s Confidential Information shall include, but not be limited to, documents, information, designs, printed matter, policies, procedures, supplier lists, beneficiary lists, donor information, contracts, financial data, fundraising data and materials, conversations, messages (received or transmitted), resources, contacts, e-mail lists, and e-mail messages, whether internally between Learning in Reach’s directors and/or employees and/or volunteers or between any of them and any third party.

2.2 The Volunteer agrees that no Confidential Information of Learning in Reach’s shall be used by him or her or disclosed to any party except as is expressly necessary for the performance of the Volunteer’s duties towards Learning in Reach.

2.3 The Volunteer agrees that all Learning in Reach’s Confidential Information is and shall remain the sole property of Learning in Reach, and that the Volunteer shall have no right or claim of any nature in or to the Confidential Information.

2.4 Any breach of the confidentiality of Learning in Reach’s Confidential Information is to be guarded against at all times, and the Volunteer agrees to take all steps that may be reasonably necessary to prevent Learning in Reach’s Confidential Information falling into the hands of an unauthorised third party. The Volunteer agrees to report any suspected breach to Learning in Reach immediately when same comes to his or her attention.

3. Beneficiaries’ Personal Information:

3.1 The Volunteer agrees to keep all Beneficiaries’ personal information, including all beneficiary file information, strictly confidential.

3.2 The Volunteer may only use or disclose Beneficiaries to the extent necessary for the execution of Learning in Reach’s authorised activities and within the bounds as consented to by the beneficiary concerned. Such personal information is not be used or retained by the Volunteer or disclosed to any third party.

3.3 Any breach of the confidentiality of beneficiaries’ personal information is to be guarded against at all times, and the Volunteer agrees to take all steps that may be reasonably necessary to prevent Beneficiaries’ personal information falling into the hands of an unauthorised third party. The Volunteer agrees to report any suspected breach to Learning in Reach immediately when same comes to his or her attention.

4. General:

4.1 The Volunteer’s undertakings in this agreement are irrevocable and shall remain in force indefinitely.

4.2 The Volunteer’s undertakings shall govern any and all Confidential Information and personal information which s/he gains access to through his or her volunteer activities for Learning in Reach, whether s/he gained access to it before or after his or her signature of this agreement.

4.3 Any data or documents or other materials which Learning in Reach gives to the Volunteer in relation to his or her voluntary activities will remain the property of the Learning in Reach and must be returned to the Learning in Reach forthwith upon request. The Volunteer may not make or retain copies of any such data, documents or other materials without the prior written consent of the Learning in Reach.
The Volunteer acknowledges his/her agreement to the aforementioned terms. *
In an event of an emergency, please contact:
Name of emergency contact
Address of emergency contact
E-mail of emergency contact
Contact number of emergency contact
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