START

Thank you for your interest in joining the team of volunteers for the Centre for Better Health.
Please complete the following application as thoroughly as you can.


Which project would you like to volunteer for? Indicate either yes or no for each option:
Bakery:
Bike Shop:
Light Industrial Unit:

Personal Details



Date of Birth (submit as dd/mm/yyyy):

Address




Borough:

Contacts



EDUCATION

Name of School:
Dates To/From:
Name of University / College Attended:
Dates To/From:
Degree(s) Obtained:
Other Qualifications:

EMPLOYMENT AND VOLUNTARY WORK EXPERIENCE

Employment Status:
Current Employer:
Position Held:

Relevant Work Experience (paid or voluntary)

Experience 1

Organisation:
Address:
Nature of work or position held:
Dates To/From:

Experience 2

Organisation:
Address:
Nature of work or Position held:
Dates To/From:

Experience 3

Organisation:
Address:
Nature of Work or Position held:
Dates To/From:

SKILLS AND EXPERIENCE

What are your practical skills and experience?
Which of your personality traits do you consider most suitable for this work?
What is your experience of working with adults with mental health problems?
Why do you wish to volunteer your time with The Centre for Better Health?
What do you hope to gain from your experience?:
What are your interests and hobbies?:

AVAILABILITY

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When would you be available to start:
Please indicate your availability by answering either yes or no for each option:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:

REFERENCES AND CHECKS

Note: Please be aware that an offer of a placement is based on satisfactory references and DBS checks

DBS check

Do you have any spent or unspent criminal convictions, cautions, reprimands or warnings? This volunteer placement is exempt from the Rehabilitation of Offenders Act 1974

Do you have any criminal convictions?:
Details of Criminal Convictions:
Do you already hold a DBS certificate, issued less than a year ago and to work with adults?:

References

Please provide the details of two referees

Referee 1

Name:
Email:
Job title:

Referee 2

Name:
Email:
Job title:

OTHER INFORMATION:

How did you hear about us?:

Optional: you do not need to fill in the following questions if you do not wish to, however we appreciate if you do, as it helps us to ensure that our services reach the widest possible audiences and that they are available to sections of the public that may be underrepresented. This part of the application will be kept separately and anonymously for monitoring purposes only.

Gender:
Gender - self description:
Ethnicity:
Religion or Belief:
Other Religion or Belief:
Sexual Orientation:
Other Sexual Orientation:

CONSENT

Thank you for completing this application, we use all information in accordance with the data protection act.

Kindly type your name below to consent to your information being processed by us.

Consent:

Please click here to access our policy about how your personal details will be handled.

You can withdraw your application at any time by emailing services@centreforbetterhealth.org.uk