Please fill in all the information on the application form before sending it.


MrMrsMissMsDr








YesNo


YesNo


EmployedStudentUnemployedOther


First Reference?

Please provide the Names of two referees who are well known to you but exclude family relatives, who we may contact about your suitability to volunteer at Age Connects Torfaen.






Second Reference?






Have you ever been convicted of a criminal offence?

All applicants may be subject to a disclosure check by the Criminal Records Bureau.

YesNo


Reception/HospitalityKitchen WorkInformation/AwarenessBenefit AdviceDay Activities Support (ie. Music, Art, Quizes)Caretaker SupportAdministration/IT/Computer Data/Office SkillsPromotion/Fundraising/Open DaysShopping/Window DisplayBefriending


WeeklyMonthlyOccasionallyFlexibleTimes to suitVolunteer Bank


Consent?

To assist with your enquiry, we require consent to store information about you, the law states that we must receive your consent to do this. All details will be treated confidentially. Please read the sentence below, if you consent tick the box. I give my consent to Age Connects Torfaen to record personal information about myself and use images and videos of myself for fundraising and publicity purposes.

YesNo