START

Thank you for your interest in joining the team of volunteers for the Centre for Better Health.
Please complete the following application as thoroughly as you can.


Personal Details



Date of Birth (submit as dd/mm/yyyy):

Address




Borough:

Contacts



EDUCATION

Please provide details of your education history

Name of School attended:
Dates To/From:
Name of University / College attended:
Dates To/From:
Degree(s) Obtained:
Other Qualifications:

EMPLOYMENT AND VOLUNTARY WORK EXPERIENCE

Current Employment Status:

Current Employer:
Current Employer Address:
Position Held:

Relevant Work Experience (paid or voluntary)

Please give details of any paid or voluntary work experience relevant to this position.

Experience 1

Organisation:
Address:
Nature of work or position held:
Dates To/From:

Experience 2

Organisation:
Address:
Nature of work or Position held:
Dates To/From:

Experience 3

Organisation:
Address:
Nature of Work or Position held:
Dates To/From:

SKILLS AND EXPERIENCE

What are your practical skills and experience relevant to this type of work?
Which of your personality traits do you consider most suitable for this work?
What is your experience of working with adults with mental health issues?
Why do you wish to volunteer your time with The Centre for Better Health?
What do you hope to gain from your experience?:

AVAILABILITY

Please provide details of your availability.

When would you be available to start?
How many hours per week are you available to volunteer?
Please indicate which day(s) you are available?

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DBS CHECKS

Note: Please be aware that an offer of a placement is based on satisfactory DBS checks

Do you have any spent or unspent criminal convictions, cautions, reprimands or warnings? This volunteer placement is exempt from the Rehabilitation of Offenders Act 1974

Do you have any criminal convictions?:
Details of Criminal Convictions:
Do you already hold an enhanced DBS certificate, issued less than a year ago and to work with adults?:

OTHER INFORMATION:

How did you hear about us?:

This section is optional however by providing us with this information you will help us ensure that our services reach the widest possible audiences and that they are available to sections of the public that may be underrepresented.

Gender:
Gender - self description:
Ethnicity:
Ethnic Category- Other:

Religion or Belief:
Other Religion or Belief:
Sexual Orientation:
Other Sexual Orientation:

CONSENT

**The Centre for Better Health needs to collect this data about you in order to establish if we can provide you with an appropriate service. We will use the information that you have provided in accordance with the Data Protection Act 2018. You can read our Privacy Notice for information on how we handle your data.**

Please type your name below to confirm that you agree to your data being stored and processed by the Centre for Better Health.

Consent:

If your application is successful, we would love to keep in touch with you during your volunteering to keep you in the loop with what’s going on at the Centre for Better Health. Emails may include positive outcomes from the service, surveys to get feedback on your volunteering experience and information about internal events and changes.
I would like to receive information from the Centre for Better Health by email:

** If you tick ‘no’, we will still need to communicate with you via the email address you have provided regarding your application and your volunteering role if you are successful. **

We may use Mailchimp to send you emails. By opting in to receive emails from us, you acknowledge that your information could be transferred to Mailchimp for processing. You can learn more about Mailchimp’s privacy practices here.
You can change your mind by clicking the unsubscribe link in the footer of any email you receive from us via Mailchimp or by contacting admin@centreforbetterhealth.org.uk

To submit your application click "SUBMIT" OR "SUBMIT QUERY"