Volunteer signup Contact Details Name* Email* Date of birth Address City / Town* Postcode Telephone* Education And Experience Relevant work experience Tell us about relevant work or volunteering experience you have Other work experience Tell us about other work or volunteering you have done which has not already been mentioned Qualifications Tell us about your qualifications and education e.g. training courses, qualifications gained, etc. Hobbies and interests Tell us about your hobbies/interests Reason for volunteering* Tell us why you want to volunteer Practical Information If successful, when would you like to start?* How many hours per week can you volunteer?* Service Community Hospital Gardens FareShare Good Food Depot Cyrenians Farm Befriending Service Conflict Resolution Criminal Justice Employability Food Education Homeless Prevention Service Mediation and Support Recovery Service Residential Farm Communities Office Volunteer position If there is a specific position that you are interested in, please type it here. Monday availability Morning Afternoon Evening Tuesday availability Morning Afternoon Evening Wednesday availability Morning Afternoon Evening Thursday availability Morning Afternoon Evening Friday availability Morning Afternoon Evening Saturday availability Morning Afternoon Evening Sunday availability Morning Afternoon Evening Do you have any support needs? Yes No What are your support needs, if any? Referee 1 Please supply details of a referee Referee Name* Organisation Address City / Town Postcode Telephone* Email Relationship Referee 2 Please supply details of a second referee Referee Name Organisation Address City / Town Postcode Telephone Email Relationship Emergency Contact Please supply details of someone to be contacted in the event of an emergency Emergency Contact Name* Telephone* Relationship* Equal Opportunities Monitoring Information from this section is used to ensure equality of opportunity. It is entirely optional - you do not have to fill it in, however it is very helpful to us. Gender Male Female Other Ethnicity British Irish Other White White/Black Caribbean White/Black African White/Black Asian White/Black Other Mixed Caribbean African Other Black Indian Pakistani Bangladeshi Other Asian Chinese/Chinese British Other Please specify, if "other" Where did you learn of this vacancy? Website Publication Other Please specify Do you consider yourself to have a disability? Yes No If yes, please give details Do you consider yourself to have any long term health conditions? Yes No If yes, please give details Sexual orientation Heterosexual Homosexual Bisexual Religion Atheism Baha'i Buddhism Christian Hinduism Islam Jehovah’s Witness Judaism Mormonism Paganism Rastafari Shinto Sikhism Unitarianism Other Please specify, if "other" Criminal Convictions Having a criminal record will not prevent you from volunteering with the Cyrenians. However, some convictions and circumstances surrounding convictions may give us cause for concern. Therefore, it is very helpful to us if you declare any spent or unspent convictions you have to us. This means that we can take into account and criminal offences you have committed and talk through any concerns we have. Do you have any criminal convictions? Yes No When did the offence take place? With what were you charged? What sentence did you receive? What were your circumstances at the time? What have you learned from the experience? What are your present circumstances and future expectations? Forget your private link? Click here to have it emailed to you.