Volunteer Application Form
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Email *
Full Name *
Address (including postcode) *
Phone number *
Are you over 18? *
Required
Where did you hear about us? *
Are you in full time or part time employment?

If you are in full or part-time education, which school, college or university do you attend?

What subjects are you studying?
Preferred Area to Volunteer:
Please tell us if you have any skills that might be helpful. Eg. Do you speak or understand any language other than English?
Have you had any experience of spending time with people who have physical or learning disabilities, autistic spectrum condition, or other additional needs? Please tell us about it here:
What hobbies and interests do you have and could they be shared?
We at Friends Action North East realise people may choose not to go to certain places and do specific activities due to cultural and life-style choices. So we can support our volunteers better it would be useful to have knowledge of your preferences/needs. Are there any places you would not like to go to or activities you would not like to participate in? 
If you are volunteering to offer one to one friendship support, it is quite important that you are able to offer time on a fairly regular basis. How much time do you feel able to offer and how often? For example 2 hours a week. 
What days and times are good for you?
If you are volunteering to help us in some other capacity (i.e. Supporting group activities, I.T support, fundraising) How much time are you able to offer and how often?
Do you have any disability or health problems including mental health, which would be useful for us to know about to be able to support you better in your role as a volunteer.

Because our volunteers are regularly involved in the lives of people who are more vulnerable than most, we are obliged to ask that all applicants complete a Disclosure and Barring form. Please be assured that the disclosure of a criminal record does not necessarily exclude you from voluntary work, and that all the information you provide is and will remain private and strictly confidential. Do you have a criminal record? (If ‘Yes’ please do not give details here. You will be invited by FANE to discuss in private anything that may be of relevance.)

 *
I am over 18 years old and having read the above I hereby give my consent to FANE initiating a Criminal Records Bureau enquiry:
 *
Required
Emergency contact details:
Are you happy for us to use photographs or videos of you and other members for publicity, newsletters, displays and our web site etc.
 *
Required
Do you agree that FANE may keep your personal details on a computer database?
 *
Required
References. Please let us know the details of 2 people who can provide a reference for you:
Reference 1 full name:
Relationship to you:
Address:
Phone Number:
Email:
Reference 2 full name:
Relationship to you:
Address:
Phone Number:
Email:
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