DETAILS ABOUT YOU
First Name
Last Name
E-mail
Phone Number
Address
Date of Birth
Do you hold a driving licence and have access to a vehicle?
Please let us know your availability for volunteering - days/times (approximate hours per week or fortnight):
Please let us know your reasons for wanting to be a volunteer:
Are there any adjustments that may be required to be made for you at interview? If yes, please give details
Have you ever worked with children, young people or vulnerable adults? If yes, please tell us in what role and roughly when.
Have you or any of your family ever accessed any services provided by Changing Futures or Headland Futures, including Tees Valley Mediation? If yes, please tell us which service and who you worked with?
Please tell us any relevant skills and/or experiences you may have:
It’s helpful if you can provide us with at least 5 years’ employment, volunteering or educational history now. However we can collect this from you over the phone when we arrange an interview with you if easier.
1
Company or educational institution
Education/Institution Location
Role Held
Date from/until
2
Company or educational institution
Education/Institution Location
Role Held
Date from/until
3
Company or educational institution
Education/Institution Location
Role Held
Date from/until
4
Company or educational institution
Education/Institution Location
Role Held
Date from/until
5
Company or educational institution
Education/Institution Location
Role Held
Date from/until
Please provide reasons for any gaps in employment:
Have you lived abroad for over 6 months in the last 5 years? If yes, please tell us which countries you lived in any what you did there for work, volunteering or otherwise why you were visiting.
References
Due to the sensitive nature of our volunteer roles and organisations, we have safer recruitment procedures in place. Our volunteering policy means we will be unable to accept volunteers without doing reference checks.
Referee 1
Full Name
How you know them and through which organisation/establishment?
Phone Number
Email address
Referee 2
Full Name
How you know them and through which organisation/establishment?
Phone Number
Email address
If you are unable to provide 2 or more references, please provide any reasons
Protecting Children, Young People and Adults
We need and want to keep vulnerable people and children safe. Because of this, we have to ask some personal questions about criminal convictions (spent and unspent), cautions or pending/ongoing court cases. All paid and unpaid roles are exempt from the Rehabilitation of Offenders Act 1974. The amendments of the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are 'protected' and are not subject to disclosure to employers and cannot be taken into account.
Having a criminal record does not necessarily stop people helping out with Changing Futures NE. We will look into each case individually.
Do you have any Criminal Convictions?
If you have responded Yes to the above question, please describe the offence and date of conviction, if you responded No, please enter No
Declaration of Consent
GDPR: I understand and agree my information will be collected for the purpose stated and understand how
Changing Futures North East will collect, process and store my personal information.
Personal Information: Any personal information I supply by submitting this form will be used solely for the purpose it was intended for. Changing Futures North East will not pass your information on to a third party or use your email for any additional marketing.
Police Check: I understand that it is an offence for a person disqualified from working with children, young people or vulnerable adults to apply for this role, and the police will be contacted if it is believed an offence has been committed.
GDPR Agreement: I understand and agree my information will be collected for the purpose stated and understand how Changing Futures North East will collect, process and store my personal information.
Enhanced Disclosures: I agree to submit to an Enhanced Disclosure and Baring Service Check if I am successful in my application. I understand that any offer of a volunteering role will be conditional on the check not identifying information which Changing Futures North East believes would make me unsuitable as a volunteer.
Reference Checks: I agree to references being taken up by Changing Futures North East, and to provide proof of ID and address when asked.
Send Application
