Volunteer your timeIf you would like to volunteer your time, please complete the form below and our manager will be in touch with you shortly Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Message Is there a particular area of SCH where you would you like to work? * Admin Food bank Groups Refreshments Hub Grub How many hours a week (approx.) are you able to help? * 1 2 3 4 5 6 7 8 9 10+ Please indicate which days of the week you would be able to available volunteer these hours? * Monday Tuesday Wednesday Thursday Friday Saturday Please complete this section if you are willing to be a driver or to drive as part of your volunteering role. Do you hold a current, FULL driving licence? Yes No If yes, how long have you been driving? Do you have the use of a vehicle? Yes No Are you prepared to use your vehicle as part of your volunteering role? Yes No Do you have any endorsements? Yes No Have you claimed on your motor insurance in the last 5 years? Yes No If yes, please give details of the claim. Does your insurance policy include business use? Yes No Is there anything else you would like us to know about you? EQUAL OPPORTUNITIES Stone Community Hub recognises that many people are discriminated against and will take positive action to ensure that no job applicant, staff member, volunteer, organisation or individual to whom we provide services will be discriminated against by us on the grounds of race, colour, nationality, ethnic or national origin, sex, marital status, sexuality, age, disability, religion, employment status. Acceptance of the Equal Opportunities policy is a condition of volunteering with Stone Community Hub Are you registered disabled? Yes No If yes, please provide us with details. You will be working with people who are vulnerable. The rehabilitation Act 1974 (exemptions) Order, 1975 required you to declare any criminal convictions, whether ‘spent’ or ‘unspent’. You may be required to have a check for criminal records through the DBS. Disclosures will provide details of a person’s criminal record including convictions, cautions, reprimands and warning held on the National Police Computer. Have you ever been convicted of a criminal offence other than motoring offences? Yes No If yes, please specify. (this information will not necessarily prevent you from becoming a volunteer) EMERGENCY CONTACT Please give the details of an Emergency contact. Name First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Relationship to you REFERENCES Please give the details of two people (non-family members) who have known you for at least 2 years and are willing to tell us about your suitability for volunteering. Name of referee 1 First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email Name of referee 2 Name First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email Thank you for your interest, it is very much appreciated. Once we receive your form we will contact you to make arrangements
