Volunteer Registration Form

If you require this form in large print, please contact us on 0116 288 7482.

VOLUNTEER EMERGENCY CONTACT DETAILS

In the event of an emergency, please contact the following:

POINT OF CONTACT

Telephone Numbers

Please supply any further information you feel might be helpful in the event of an emergency, e.g. regular medication taken, neighbours/key holders for your home.

Should your personal circumstances change, please notify us to ensure records are up to date at all times.

I declare that the information given on this form is to the best of my knowledge and belief true and complete.

Declaration of Criminal Convictions

The Rehabilitation of Offenders Act 1974 (ROA) ensures that ex-offenders who have not re-offended for a period of time since the date of their conviction are not discriminated against when applying for jobs.  The ROA enables ex-offenders to ‘wipe the slate clean’ of their criminal records in the sense that they are no longer legally required to disclose to an organisation convictions  that are ‘spent’, unless the role they are applying for is exempted from the Act.

Any declaration you make will be kept confidential as part of the recruitment process and each case will be decided on its own merits (Note some people are banned from working with children under the Protection of Children Act 1999 & Criminal Justice and Court Services Act 2000).

When looking at declarations the recruitment panel will consider:

•       Whether the information revealed is relevant to the position

•       The seriousness of the offence(s)

•       The length of time since the offence(s)

•       Whether this was part of a pattern of offending or a one-off incident

•       The age of the applicant at the time and circumstances of the offence and explanation(s) of the applicant.

Please be as honest as possible at this stage as an Enhanced DBS Disclosure may  be requested prior to confirmation of appointment and your appointment will be subject to this being received and satisfactory as part of your recruitment.  If you are unsure whether you need to declare something please contact the NACRO Resettlement Plus Helpline on 0207 8406464.

I certify that the information given on this form is correct to the best of my knowledge.

I agree to Community Action Partnership holding the information supplied subject to the Data Protection Act 1998. I also consent to Community Action Partnership obtaining a full (DBS check) where required.

REFERENCES

Please give two people (other than relatives or partner) who would be prepared to act as referees:

REFEREE 1

REFEREE 2

VOLUNTEER DRIVERS ONLY