Volunteer Application Form
Thank you, for your interest in volunteering for Simon Says Child Bereavement Charity. 

Please kindly complete the application form and we will be in touch soon to arrange a time to discuss your application and the next steps.  

If you would like to have a chat prior to completing the application form, please feel free to call the office on 01794 323934 or email info@simonsays.org.uk 

We look forward to hearing from you soon.
Simon Says
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Email *
Full Name: *
Address: *
Contact phone number: *
Email address: *
Date of Birth *
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Do you have a disability? (If so, what support can we offer you in order to help you volunteer?) *
Have you suffered a bereavement in the last two years?
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Do you have a current enhanced DBS for child workforce? *
If yes, are you on the update service? Please supply your certificate number.
What is your current occupation? *
Do you have previous experience working with children, illness or bereavement or in the voluntary sector? *
Tell us about yourself!  Skills – interests – hobbies ……… *
What motivated you to volunteer with Simon Says? *
Which area(s) of volunteering are of interest? *
Required
When are you free to volunteer? *
Required
How did you hear about Simon Says? *
Declaration of Criminal Record
As a charity for children we have a duty to protect the children and young people that we work with.  Therefore all paid and unpaid roles are exempt from the Rehabilitation of Offenders Act 1974.  All convictions both spent and unspent, must be disclosed.  A criminal record does not deny people the chance to volunteer with Simon Says, except in the case of offences against children or withheld information on any offence.
Have you ever been convicted of a criminal offence, cautioned, reprimanded or given a final warning by the police, or do you have any court cases pending? *
If YES, please give details below with dates of offences, sentences, cautions, reprimands, final warnings and court cases pending:
Is there anything else of this nature that you feel we would want to know, or that you ought to tell us about?
References
Please provide details of two people who would be prepared to provide a reference (excluding family members) who know you well.  If you have worked in the past 5 years, at least one reference should be from your last employer.
Referee One
Name *
Job Title *
Email Address *
Contact phone number
How long have you known this person and in what capacity? *
Referee Two
Name *
Job Title *
Email Address *
Contact phone number
How long have you known this person and in what capacity? *
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