Chomp Moulsecoomb Volunteer application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please take your time to complete this application as accurately as you're able to. We're looking forwards to speaking with you about Chomp Moulsecoomb and your potential to volunteer wit us.

Email *

Name *

First and last name

Address *

Post Code *

Mobile number *

Date of Birth *

YYYY

How many children (under 13 year olds) do you have? *

How did you hear about this volunteering opportunity? *

Email Distribution

Social Media

Printed Flyer

Word of Mouth

Online Search

In general, Chomp Moulsecoomb deliver family sessions in the school holidays. What is your general availability in school holidays, please? *

Gender Identity *

Male

Female

Non-binary

Prefer not to say

Do you identify as the gender of your birth? *

Yes

Prefer not to say

Ethnicity *

White English, Welsh, Scottish, Northern Irish or British

White Irish

White Gypsy or Irish Traveller

Any other White background

White and Black Caribbean

White and Black African

White and Asian

Any other Mixed or Multiple ethnic background

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

African

Caribbean

Any other Black, African or Caribbean background

Arab

Any other ethnic group

Prefer not to say

Sexuality *

Hetrosexual

Gay

Queer

Lesbian

Bi-sexual

Prefer not to say

Required

Religion *

Do you currently claim any state benefits at all? *

Yes

Prefer not to say

Background Information: (1/2) *

Due to the nature of the voluntary work you are applying for, you will be subject to a Criminal Records check, and you will be required to disclose any conviction, caution or binding over including ‘spent convictions’ under the terms of the Rehabilitation of Offenders Act 1974. Have You Ever Been Charged with, Cautioned or Convicted in Relation to Any Criminal Offence; or Are You at Present the Subject of Criminal Investigations/Pending Prosecution?

Yes (if yes, please give details below including the nature of the offence and the date)

Required

Background Information: (2/2)

Please supply any additional information below:

Are you subscribed to the Disclosure Barring Service Update Service and have an ID number? *

Yes

Required

Do you consent to Chomp Moulsecoomb obtaining a Disclosure Barring Service check? *

Yes

Required

Do you consent to Chomp Moulsecoomb obtaining regular Disclosure Barring Service updates? *

Yes

Required

Please can you supply a personal reference person (their name, relationship to you, mobile number & email address) that you would be happy for us to contact about this application. *

Please can you supply a professional/educational reference person (their name, job role, phone number & email address) that you would be happy for us to contact about this application. *

Skills and Interests. *

Please highlight to us any specific skills, experience or knowledge that you have. This will help us to make best and most appropriate use of your time at Chomp Moulsecoomb.

Areas of Development. *

Please highlight to us any skills or areas you would like to develop. We may be able to help with training or other opportunities as they become available:

Dietary Requirements. *

At Chomp Moulsecoomb the volunteers, at times, will sit down to eat with the families. Do you have any food allergies that we should know about?

Medical Conditions. *

Do you have any medical conditions? (physical health, mental health or special educational needs) If so please detail them here:

If so, do you keep any medication on you that we should be aware of? *

This could be useful in the event of a medical emergency

Have you had any Covid-19 vaccines? If so, please state how many *

This could be useful in the event of a medical emergency

Please give details of your "In Case of Emergency" contact person & their phone number. *

This could be useful in the event of a medical emergency. We will need their full name, primary phone number and address.

Agreement

Please tick each box, as far as you're able to.

I declare the information I have given is accurate and complete to the best of my knowledge.

I agree to maintain confidentiality about all personal information regarding the people involved in Chomp Moulsecoomb activities in accordance with the Good News Brighton Confidentiality Policy. * I also agree to immediately pass on any information which makes me concerned about the safety & wellbeing of any person or volunteer to the Chomp Moulsecoomb lead worker in that activity.

https://drive.google.com/drive/folders/1pXxyBPmDjQmB69jL7PyONZRrwOdv4qBp?usp=sharing I have read the Good News Brighton safeguarding policies, Equality & Diversity Policy and Confidentiality Policy.

Clear selection

Permissions. *

Please tick each box, as far as you're able to.

I confirm that I am happy for my family members to be in photographs/videos that are taken by Chomp Moulsecoomb. I recognise that these may be used online or printed for promotional purposes.

I agree to conduct myself in a professional & honourable manner, following all Good News Brighton policies & procedures in place.

I agree to any photographs or video captured with me in them and authorise them to be used for promotional material, social media & other communications for the purposes of Chomp Moulsecoomb & Good News Brighton

I understand that the personal information I have provided will be handled by Good News Brighton in accordance with the Data Protection Act 1998, and it will be used for the purpose of providing services and collating statistics. My information will be treated as confidential and will only be shared with other statutory organisations according to legal obligation as in General Date Protection Regulations.. *

Please type your name to e-sign this booking form. *

Please enter the date that you complete this booking form. *

YYYY

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms