Overview
Page 1 of 4 (Including Emergency Contact). This form is to be completed by all new SEFF Volunteers. 2021/2022
Section 1 of 9: Personal details
Surname:
Forename(s):
Preferred Name:
Address:
Telephone number:
Email address:
Gender Identity: Male | Female | How you wish to be identified:
Section 2 of 10: Emergency Contacts
Person to contact in an emergency:
Name:
Relationship to you:
Email:
Section 2 of 9: Declaration
To the best of my knowledge and belief the information given in this form is correct.
Signature:
Date:
Please tell us where you heard about volunteering at SEFF:
Internet
* Other (please specify)
* Newspaper
* Friend Referral (name)
Section 3 of 9: Abilities and experiences
Please tell us about your skills and how you wish to volunteer with SEFF.
Please tell us about any special skills or qualifications that you may wish to share within your role (e.g. qualifications).
Provide us with some knowledge of your experience with technology and IT (please note this is not a requirement of all volunteers but helps us to determine a suitable role for you).
Please tell us about any previous volunteering you have participated in.
Please tell us here which days and times each week you would like to volunteer (e.g. each Monday between 10am-3pm).
Section 4 of 9: Entitlement to work in the UK
In order to comply with the Asylum and Immigration Act 1996 we are required to ask you to verify your entitlement to work/volunteer in the UK.
Are you legally entitled to work/volunteer in the UK? Yes / No
Do you need a visa or work permit to work/volunteer in the UK? Yes / No
If Yes please give details including expiry date and any restrictions:
Section 5 of 9: Criminal convictions
Have you ever been convicted of a criminal offence? (Declaration subject to the Rehabilitation of Offenders Act 1974) Yes / No
If yes please give details:
Section 6 of 9: Volunteer References
Please provide below some references who would be able to confirm your suitability to volunteer with SEFF.
Reference 1
Reference 2
Referee Name:
Referee Name:
Company/ or title:
Company/ or title:
Address:
Address:
Email address:
Email address:
Contact name:
Contact name:
Section 7 of 10: Protecting Children and Vulnerable Adults
As a volunteer at SEFF you will be required to complete an ACCESS NI check. Enhanced Checks only.
Are you aware of any police inquiries or allegations made against you, which may have a bearing on your suitability for this post?
Yes / No
Section 8 of 10: Disability Discrimination Act
We actively encourage volunteer applications from people with disabilities. The Disability Discrimination Act defines a disabled person as someone who has a physical or mental impairment which has substantial and adverse long-term effect on his or her ability to carry out normal day to day activities.
Do you have a disability which we may need to be aware of in order to make your volunteering role suitably equipped for you?
Yes / No
If yes, please give details. We will try to provide access, equipment or other practical support to ensure that people with disabilities can volunteer on equal terms with non-disabled people.
Section 9 of 10: Driving License/Transport
Do you hold a full, clean and current Driving License and access to transport which would enable you to perform the role of Volunteer (if relevant to your role)? Yes / No
Section 10 of 10: Returning This Form
SEFF undertakes that it will treat any personal information (that is data from which you can be identified, such as your name, address, e-mail address etc) that you provide to us, or that we obtain from you, in accordance with the requirements of the Data Protection Act 1998.
Return by email to emma.burton@seff.org.uk (please note the application will need to be signed) or by hand or post:
South East Fermanagh Foundation
1 Nutfield Road, County Fermanagh. BT92 0FP
Telephone: 028 677 23884
Website: www.seff.org.uk
Email: emma.burton@seff.org.uk
Website: http://www.seff.org.uk/
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