CARING HANDS VOLUNTEER APPLICATION FORM


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» Aromatherapy » Befriending » Bottle in Fridge » Counselling Service » CRB Checks » Drop-in Service » Equipment Loan » First Stop Advice » Handyman Service » Internet Service » Laundry » Library » Luncheon Club » Minibus » Shopping & Day Trips » Volunteering » Welfare Rights	CARING HANDS VOLUNTEER APPLICATION FORM (What you share with us will be treated in confidence) COULD YOU PLEASE COMPLETE ALL PARTS OF THIS FORM WHICH SERVICE ARE YOU INTERESTED IN: NAME: DATE OF BIRTH: ADDRESS (inc postcode): TELEPHONE NUMBER EMAIL ADDRESS PREVIOUS EXPERIENCE: HAVE YOU UNDERTAKEN ANY RELEVANT TRAINING? YES NO IF YES, PLEASE GIVE DETAILS: PLEASE ENTER REFERENCE DETAILS OF TWO REFERENCES, ONE FROM A PREVIOUS EMPLOYER AND ONE FROM A PERSON WHO CAN COMMENT ON A PERSONAL LEVEL(NOT A RELATIVE) REFERENCE 1: name: address: phone number: REFERENCE 2: name: address: phone number: ADDITIONAL INFORMATION: PERSONAL DISCLOSURE: It is important to be honest when filling in this form to ensure that a meaningful relationship will develop. Have you ever been convicted of any criminal offence or been the subject of a caution or of a bound over order? YES NO If yes, please state the nature and date(s) of the offence(s) : Have you ever been dismissed from employment or had your voluntary work terminated ? YES NO If yes, please give details: Health Check: Do you suffer from any medical condition which you feel should be brought to our attention: YES NO If yes, this may be discussed during your interview. Contact Name and Address in case of emergency:: DATE: Please complete this form and submit on line or download and Post to Caring Hands Charity, or Fax on 0191 261 5251. We aim to reply to all enquiries within 3 working days of receipt. We'd be happy to speak with you in person at Caring Hands Office or telephone 0191 261 5234 on Monday, Tuesday, Wednesday or Friday between 10.00am and 3.30pm	Online Forms: General Enquiry Form Download Forms: Volunteer Form General Enquiry Form
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Caring Hands Reg. Charity no. 1039527 \| Tel: 0191 261 5234 \| Email: caringhands.charity@btinternet.com
Site Credits: Thanks to Claire Ridley for designing our logo, Michael Carey and CSV Virtual Volunteers for helping us develop the site.