Volunteer Application Form – Beverley Minster

Section 1: Personal details - Name*

Title First Last

Address*

Address Line 1 Address Line 2 Town County Post code

Phone: Land line

Phone: Mobile

Email*

Section 2: Emergency contact details - name*

Who should we contact in an emergency?

First Last

Relationship to you*

Address*

Address Line 1 Address Line 2 Town County Post code

Phone: Land line

Phone: Mobile

Section 3: The Volunteer Role*

Please indicate the role(s) you might want to volunteer for at Beverley Minster and tell us why:

Church involvement*

Please tell us about your church involvement (if any).

Section 4: Health*

Do you have any health problems or disability we should be aware of which may effect your day to day activities?

Yes
No

If yes, please give details so that we may accommodate your needs where possible:

Section 5: Referees - name 1*

Please provide two independent referees who would be willing to supply a character reference:

First Last

Address*

Address Line 1 Address Line 2 Town Post code

Phone: Land line

Phone: Mobile

Email*

Referee - name 2*

First Last

Address*

Address Line 1 Address Line 2 Town Post code

Phone: Land line

Phone: Mobile

Email*

Section 6: Church of England Confidential Declaration Form*

1. Do you have any unspent convictions or conditional cautions?

YES
NO

2. Do you have any spent convictions or conditional cautions that are not protected as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended 2020)?

YES
NO

Section 7: Declaration.*

I understand that if I am appointed to a volunteering role there may be a settling in period and that I will be expected to complete a volunteer induction programme and undertake relevant safeguarding training.

Select All
Contacting me by post
Contacting me by phone
Contacting me by email
Sending me the Minster newsletter (you can unsubscribe at any time)
Where I have a particular role or responsibility, holding my details in the Parish Centre.
I confirm that to the best of my knowledge the information I have provided on this form is correct and I accept that providing deliberately false information could result in my termination of my role as a volunteer.
I understand that any offer of appointment to a volunteering role is subject to satisfactory pre-appointment checks as well as completion of a Confidential Declaration Form and satisfactory disclosure from the Disclosure and Barring Service at the appropriate level, where this is a requirement of the role as stated on the volunteer role description.
I understand that if I am appointed to a volunteering role there may be a settling in period and that I will be expected to complete a volunteer induction programme and undertake relevant safeguarding training.

Date

For an applicant under 18, a parent/guardian should declare:

I believe that, to the best of my knowledge and belief, the information supplied by the applicant in each section of this form is correct. I agree that Beverley Minster can hold and use the data on this form for the purpose of administering and supervising the volunteer’s work.

YES

Date