Volunteer Application Form
Thank you for providing us with this information. Due to our Data protection,  your data is being saved on our secure system. We will not pass on your data to another organisations unless there is a safeguarding concern, but from time to time we may contact you to discuss being a case study for Little Miracles, this will not be done without your consent. If you do not consent to this please do not fill in this form and contact us on data@littlemiraclescharity.org.uk 
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Application- read the description below as this may greatly impact your volunteer application process
***Please be aware that if you wish to volunteer with vulnerable children and adults (childcare, family support, counselling or therapy) you will need to complete seven compulsory online courses (Fire safety, The Prevent duty, Safeguarding children in health and social care, Safeguarding adults in health and social care, Personal safety, Food Hygiene and Safety, and An introduction to the general data protection regulation) and have an up to date DBS check. Little Miracles will cover the cost of the DBS check and Educare courses once volunteers have accrued 5 hours of volunteer time (otherwise volunteers will be charged to cover this cost). ***



If you have any difficulties completing this application form, please telephone us on 01733 262226 or email james.mcevoy@littlemiraclescharity.org.uk.  
What volunteer opportunity are you interested in applying for *
Required
Your details
First Name *
Surname
Date of Birth
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Ethnic Origin
What branch would you like to volunteer for? *
Address
Postcode
Home Telephone Number
Mobile Number
Email address
What is your occupation?  (please also specify if this is full or part time)
When are you normally available?
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please can you provide details of your skills and experience to explain why you are suitable for this volunteering opportunity *
Asylym and Immigration Act 1996
Nationals from non-EU countries require a work permit to take up unpaid work in the UK
Do you require a work permit? *
References
Please give below the names of two people, one professional and one personal, whom we can contact to provide a reference to support your application. They should be people you have known for at least two years and must not be relatives; if this is difficult then please contact us on Emily.sibthorpe@littlemiraclescharity.org.uk to discuss this further.
Professional referee Name *
Referee's job title
Their address
Postcode
Telephone number *
Email address *
In what capacity does this person know you? *
Personal referee Name *
Referee's job title *
Their address
Postcode
Telephone number *
Email address *
In what capacity does this person know you? *
In case of an emergency
If there is an emergency who is the best person to contact?
Their full name *
Relationship to yourself *
What is their address and postcode?
What is their home telephone number? *
What is their work telephone number?
What is their mobile telephone number? *
Criminal convictions
Due to the nature of the work of Little Miracles you are required under Section 4 (2) of the Rehabilitation of Offenders Act 1974 to declare all criminal convictions including those that are spent.
Do you have any criminal convictions? *
If yes please provide full details below.  This information will be held in the strictest confidence
Declaration
In accordance with the Data Protection Act 1998, the information provided on this form will be used in the recruitment and selection process and may be disclosed to all those who need to see it. It also forms the basis of the confidential volunteer record.

I hereby declare that to the best of my knowledge all the information given by me is correct. I confirm that I do not object to the information collected on this form being used for the purpose of anonymous statistical reporting, in accordance with statutory requirements and to assist Little Miracles in equal opportunities monitoring. I agree that Little Miracles has the right to validate any of the information provided.

Please print your name to confirm all of the details are correct to the best of your knowledge
Please provide todays date
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