VIEWS: 2 PAGES: 4 POSTED ON: 12/1/2011
FLASH HITZ RADIO VOLUNTEER APPLICATION SO30 PRIVATE AND CONFIDENTAL Before you begin: There is no need to print this form, as it can be filled in directly, using Microsoft Word. Simply click the field you wish to enter data in and begin typing. On the square check boxes, you simply need to click to put a check in them. Once you’ve completed this form, please email it as an attachment to email@example.com, if possible, with a 15-minute demo. If you need help with filling in this form, please call our friendly Volunteer Intake Team on 01253 808264. (Mon – Fri 9am – 5pm) Section One: Personal Details First Name: Surname: Date of Birth Email Address: Home Telephone: Mobile Tel: Is it ok to leave messages? Yes No Your Address: Town: County: Postcode: Ethnic Origin: Religion: Section 2: Past Volunteering Experience Have you had any previous volunteer experience? Yes No (If no Skip this part) If yes, what was your position? Organization: Date you left: Reason for leaving: Manager’s Name: Contact Telephone: 2nd organization: (Skip if not applicable) Position: Organization: Date you left: Reason for leaving: Manager’s Name: Contact Telephone: 3nd organization: (Skip if not applicable) Position: Organization: Date you left: Reason for leaving: Manager’s Name: Contact Telephone: 4th organization: (Skip if not applicable) Position: Organization: Date you left: Reason for leaving: Manager’s Name: Contact Telephone: Section 3: Disability Do you have a disability? Yes No (If no Skip this part) If yes, please give details Would your disability affect your volunteering? Yes No (If no Skip this part) If yes, please give details Under the Disability Discrimination Act, We as a voluntary provider need to ensure that we make “reasonable” adjustments so that you can carry on with your volunteer work. Such measures we can put in place, include: making your Manager aware that you may need longer to set-up or to use the toilet, staggering your volunteer hours to help you so you do not get tired quickly. Assistance from our IT Support team to enable the Windows Accessibility Tools such as Narrator or Magnifier) Section 4 Post Applied For Name of post you are applying for: Have you volunteered for us before? Yes No If yes, please give details Please tell us briefly why you would like to volunteer with us here at Flash Hitz Radio: What skills do you think you could bring to the station and our programming? Please state the times you are able to volunteer: (You will be required to do 2 hours a week on the station) Monday AM Monday PM Monday Eve Tuesday AM Tuesday PM Tuesday Eve Wednesday AM Wednesday PM Wednesday Eve Thursday AM Thursday PM Thursday Eve Friday AM Friday PM Friday Eve Saturday AM Saturday PM Saturday Eve Sunday AM Sunday PM Sunday Eve If needed, are you willing to go onto an emergency rota, incase we need a volunteer to cover at short notice? Yes No Section 5 Criminal Convictions Have you ever been convicted of a criminal offence or currently have charges outstanding? (Rehabilitation of Offenders Act) Yes No If yes, please give brief details: Section Six: Declaration I certify that the information given is, to the best of my knowledge, complete and accurate and I understand that if any statement is subsequently found to be false or misleading my volunteer employment may be terminated. I agree to the processing of the personal data held on this form, including sensitive personal data as defined under the Data Protection Act 1998 that I may have identified or volunteered in the completion of this form, for the purposes of assessing my suitability for volunteer employment and performing associated administrative purposes. I understand that in particular, Flash Hitz Radio; will process information relating to criminal convictions for the purpose of determining suitability for a Volunteer post and that any information obtained will be recorded on file. I also understand that files held on me are kept secure and in compliance with the Data Protection Act 1998. Your Name: Date: For Office Use Only. Do not write below this line Date Received: Candidate Number: Received By: Passed Assessment: Yes No Score: \ 20 (See separate sheet) Volunteer Placement Offered: Yes No Actioned: References Requested: Yes No Actioned: Welcome email sent: Yes No Actioned: Volunteer added to Swift? Yes No Swift No: Actioned: Start Date: Start Time: If rejected, please state the reason for application rejection: Signed: (Volunteer Intake Team) Date: If you have agreed to be on our emergency rota, we will try to give you at least 24 hours notice that cover is needed, unless in an emergency, when you may be given much less notice.
Pages to are hidden for
"FLASH HITZ RADIO VOLUNTEER APPLICATION"Please download to view full document