Application for Volunteering

Position you are applying for *

Title

First Name

Last Name

Address

Address Line 1

Address Line 2

City

County

Post Code

Mobile Phone

Daytime Phone

Evening Phone

Email *

Do you hold a valid UK driving licence

References

Please provide the names of two referees; one from a current employer and one from an individual who has known you for over two years and is not a relative. If you are retired or not currently in employment, one reference should come from someone who has known you on a professional level.

First Name

Last Name

Job Title/Position

Organisation

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Phone

First Name

Last Name

Job Title/Position

Organisation

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Phone

Disclosure and Barring Service (DBS) checks

All eligible posts in England involving work with vulnerable groups, including children, will require a Disclosure and Barring Service (DBS) check.

Having a criminal record will not necessarily bar you from working with us. This will depend on the nature of the position and the circumstances and background of your offences.

Under the Rehabilitation of Offenders Act 1974, you only have to declare unspent convictions. However, if the post for which you are applying is one which is an exception under this Act and is eligible, we will ask anyone who is provisionally offered a position/role for an up-to-date criminal record check from the DBS which may provide information about convictions, cautions, reprimands and final warnings which might otherwise be regarded as spent. If this is the case it will be clearly indicated in the advertisement and job description.

Self disclosure of criminal record information

The criminal record information you are required to provide as part of this form is not used for shortlisting purposes. However, if you are shortlisted for interview, your self-disclosed criminal record information will be discussed with you if the interview panel feel it is relevant to the job for which you are applying.

Criminal record information is dealt with in accordance with the charity’s Disclosure & Barring Service Code of Practice (available on request).

If you have lived, studied or worked overseas in the last five years for a period of three months or longer you will be required to obtain a Certificate of Good Repute (also referred to as a Statement of Good Conduct) from the national embassy of the country/countries you have resided in to verify that you did not receive any convictions whilst living there. We would only expect an applicant to arrange for a Certificate of Good Repute after an offer of employment is made. The cost of this would be met by the applicant.

Please read the question below, related to information about criminal records

If the answer to the question is “Yes”, please provide details of offences, penalties, dates and the country in which they occurred, or of allegations made against you, in a sealed envelope marked with your name, the post name and the job reference number. You will need to send this information to us by post with the enveloped clearly marked as "CONFIDENTIAL" and addressed to the Chair of Trustees.

Do you have any unspent convictions, cautions, reprimands or warnings?

Your right to work in the UK

We have a legal obligation to check that individuals have a right to work in the UK before we employ them. Please confirm that you have a right to work in the UK and that you have documentary evidence for this (either a British passport or visa). You will be asked to bring this with you if you are called for interview.

“I confirm that I have a right to work in the UK and that I have documentary evidence for this.”

Access requirements for applicants with a disability

We will take all reasonable steps to remove any barriers you may otherwise face when attending interview.

Do you have any access requirements that we need to be aware of if you are invited for interview?

Equality and Diversity Statement

It is the aim of 4Youth (South West) to recognise and encourage the valuable and enriching contribution that people from all backgrounds and experiences bring. We believe that all individuals should be treated on the basis of merit and without prejudice. 4Youth (South West) therefore, aims to provide a service to the community that actively promotes equality of opportunity and freedom from discrimination on grounds of age, cultural background, class, disability, ethnicity, gender, political affiliation, sexual orientation, gender reassignment, faith, part-time worker, language, union activity, and an individual’s health status. We will strive vigorously to remove conditions which place members at a disadvantage and will actively challenge bigotry and discrimination.

4Youth (South West) believes in fairness and equity and values diversity in all its dealings, both as an active member and contributor to community and as an employer. 4Youth (South West) aims to embed its equality and diversity values into every day practice, policies and procedures so that equality and diversity becomes the norm for all.

4Youth (South West) is made up of people who represent the diversity in our community. We recognise, respect and value that diversity and will strive in all we do to serve the interests of our community. We will also strive to become an organisation that reflects the diversity of the residents in the communities we serve.

Declaration

By signing this declaration you are agreeing with the statements below, which may be referred to in the future.

I confirm that all the details I have provided in this application form are correct, and that I have not deliberately withheld any relevant information;
I have not attempted to influence an employee of 4Youth (South West) in connection with this application;
I understand that deliberately providing false information, failing to disclose relevant information or attempting to influence the recruitment process unfairly may lead to my application being rejected, any offer of employment (whether paid or unpaid) being withdrawn, or actual employment (whether paid or unpaid) being terminated;
I give consent for 4Youth (South West) to be given details of my attendance record over the last two years, including periods of sickness and other absence and the reasons for them, for reference purposes and held in accordance with the Data Protection Act 1998;
I note that the information provided on this application form may be held, further processed or verified in accordance with the Data Protection Act 1998

Name

Signature

Date