VOLUNTEER FORM - Leeds Refugee Forum

Name*

First Last

Address*

Street Address Address Line 2 City Post Code Country

Home Phone*

Mobile / Work Phone*

Email*

Occupation

Where did you hear about volunteering at Leeds Refugee Forum?

For how long do you hope you will be volunteering with us? E.g. 3 months, 6 months. For most volunteering we ask for a minimum commitment of 2 months.*

How many days a week would you usually be able to volunteer?

Monday
Tuesday
Wednesday
Thursday
Friday

Why do you want to volunteer for Leeds Refugee Forum?*

What previous experience do you have of working with community organisations and people (including refugees and people seeking asylum)?*

We are keen to develop new volunteer opportunities. Please list any skills you have that could be useful in our work including the post volunteer role.*

Do you have any special requirements that we would need to consider if you were to become a volunteer? Please give details*

References

Please give the contact details of two people who will be able to comment on your suitability to volunteer for Leeds Refugee Forum. They should have known you for at least a year, and cannot be a member of your family. One of these people should ideally be a previous employer, tutor or volunteer manager. If this is difficult for you because you have been in this country for a short time, please let us know and we can discuss it further.

Name

First Last

Address

Street Address Address Line 2 City Post Code Country

Phone

Email

How does this person know you?

Name

First Last

Address

Street Address Address Line 2 City Post Code Country

Phone

Email

How does this person know you?

REHABILITATION OF OFFENDERS ACT

Under the provision of this Act you must give details of any unspent offences. If you are unsure of rehabilitation periods, i.e. the time the conviction becomes unspent, you can obtain information from the Volunteer Coordinator. All successful applicants for volunteering will be subject to a Criminal Records Bureau Disclosure, when the provisions of the Act apply, e.g. when the role entails working with children or vulnerable adults. The disclosure of convictions will not necessarily be a bar to volunteering and only relevant convictions will be taken into consideration when deciding on whether a volunteer role will be offered.

Have you any unspent criminal convictions or cautions?

Yes
No

If YES please give brief details, (the nature of the offence; place and date of judgement; sentence).

I declare that the information given in this form is correct and true, to the best of my knowledge.

Yes
No

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