Volunteer Details

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					                                           Volunteer Centre Fife
                                                    Recognised charity no. SCO21715
                                                         Company no. 169561
CUPAR OFFICE                                                                                                      KIRKCALDY OFFICE
                                                       DUNFERMLINE OFFICE
Volunteer House                                                                                                10 St Brycedale Avenue
69-73 Crossgate                                           29a Canmore Street
                                                                                                                    Kirkcaldy KY1 1ET
                                                            DUNFERMLINE
CUPAR KY15 5AS                                                                                                      Tel: 01592 645540
                                                               KY12 7NU
Tel/Fax: 01334 659134                                                                                               Fax: 01592 642713
e-mail: cupar@volunteeringfife.org                        Tel: 01383 732136
                                                                                                 e-mail: kirkcaldy@volunteeringfife.org
                                                    dunfermline@volunteeringfife.org


                                                      Registered at Kirkcaldy
                                                  [AVAILABLE IN LARGE PRINT]

                                           Volunteer Registration Form
The information you give us will help us find a volunteering opportunity that suits you and will help us to monitor our
service. Information provided will be used in accordance with the principles of the Data protection Act 1998 and will not
be shared with third parties without your express permission.

If you wish to view the information we hold on you, please write to the Volunteer Development Co-ordinator at your local
Volunteer Centre Fife office.


  If you feel you cannot complete all the questions, these can be discussed at interview
  Title:     Miss         Ms         Mrs     Mr          Dr      Other …………………………

  Name: ……………………………………………………………….

  Address: ……………………………………………………………………………………………………………………..

  ……………………………………………………………………….                                              Postcode: ……………………………………….

  Tel: Home: ……………………… Work:…………………………                                      Mobile: ……………………………………………

  E-mail: ……………………………………………………………….. May we phone you?                                                   Yes             No

  Date of birth: …………………………………….

     Male                 Female


  For monitoring purposes, we would ask you to indicate the following:
  Which of these do you feel best describes your ethnic group?
     White Scottish                        White Irish                White Other British                 White Other
     Asian Bangladeshi                     Asian Chinese              Asian Indian                        Asian Pakistani
     Asian Scottish/Other
     Black African                         Black Caribbean            Black Scottish/Other                Mixed background
     Other background


  Which ONE of the following best describes your situation? Please tick ONE only.
     Paid employment full-time                 Income Support                                Full-time parent
     Paid employment part-time                 Job Seekers Allowance                         Carer
     Self-employed                             Incapacity benefit/DLA/ESA                    Asylum seeker
     Retired/Early retired                     College/University/Training                   Other
     Unwaged for ……..months                    School
Are you new to volunteering?                                              Yes    No

Would you be interested in one-off volunteer opportunities?               Yes    No
(e.g. helping with a festival, beach clean-up, fundraising event)

Are you aged between 16 and 25?                                           Yes    No
(you may be eligible for the Saltire Award for young volunteers)

Are you a driver?                                                         Yes    No
If YES, do you have access to a car?                                      Yes    No


What is your main reason for volunteering? Please choose ONE only.
   Meet new people                               Use my spare time well          Help me into paid work/education
   Increase my confidence                        Part of my beliefs/values       Help me learn new skills
   Improve my health/wellbeing                   See a need and want to improve things
   Other


How did you first make contact regarding volunteering?
   Emailed Volunteer Centre                      Phoned Volunteer Centre         Visited Volunteer Centre


It’s important for us to know how you heard about the Volunteer Centre. Was it
   Word of mouth                                 Passing by                      Phone book
   Talk/Presentation                             Poster/leaflet/Newsletter       Media e.g. radio, newspaper
   Job Centre                                    Job Club
   Skills Development Scotland/Careers Service
   Referred …………………………………………………………………………………………………………………..
   Website (please give details) ……………………………………………………………………………………………
   Other (please give details)………………………………………………………………………………………………




Which interest or cause would you like to give your time to?
Please put 1 against your favourite, and then simply tick UP TO FIVE others that interest you.


    Animals                               Ethnic minorities                       Overseas aid/Developing world
    Anti poverty work                     Families                                Physical disability
    Arts (music/drama/crafts)             Gender/Sexuality                        Refugees/Asylum seekers
    Carers                                Health/Hospitals/Hospices               Religion/Faith
    Children                              Homeless/Housing                        Sensory impairment
    Crime/Safety                          Human/Civil rights/Justice              Sport/Outdoor activities
    Disaster/Emergencies                  Learning disabilities                   Tackling Unemployment
    Drugs/Alcohol issues                  Men’s Groups                            Women’s’ Groups
    Education/Literacy                    Mental Health                           Young people
    Elderly                               Museums/Galleries/Heritage
    Environment                           Offender/ex-offenders
What type of voluntary work would you like to do?
Please put 1 against your favourite, then tick UP TO FIVE others that interest you.


   Administration/Office work             Conservation/Gardening                       Management/Business Skills
   Advice/Information giving              Counselling                                  Marketing/PR/Media
   Advocacy/Human Rights                  Disaster/Emergency relief                    Online volunteering
   Arts (Music/drama/crafts)              Driving/Escorting                            Playschemes/Children’s clubs
   Befriending/Mentoring                  Equal Opportunities/Race                     Practical/DIY
   Campaign/Lobbying                  Relations                                        Research/Policy work
   Care/Support worker                    Finance/Accountancy                          Residential Volunteering
   Catering                               Fundraising                                  Short term/Seasonal volunteering
   Charity Shops/Retail                   Home-based Volunteering                      Specialist/Technical
   Community/Economic                     Justice/Legal assistance                     Sports, outdoor activities
Development Work                          Languages/Translating                        Tutoring/Supporting Learners
   Committee Work                         Library/Information                          Volunteering for under 16s
   Computing                          Management                                       Youth work


Do you consider yourself to have a disability/health issues that might affect your volunteering?         Yes        No
If you wish, please give details:
…………………………………………………………………………………………………………………………………….

Is there any kind of support you feel you might need to access volunteering? Please describe.

…………………………………………………………………………………………………………………………………….

Availability
When are you likely to be available to volunteer (e.g. Monday morning, Thursday evenings etc)? Please describe:
…………………………………………………………………………………………………………………………………….
Are you available:     School holidays?        Term time?            Can you be flexible?          Yes       No
How many hours might you be able to give?         ........ per week/fortnight (delete as applicable)


Some organisations need to run police checks on volunteers or require volunteers to be members of the Protection of
Vulnerable Groups scheme. If you wish to discuss this, please tick this box:


May we pass on some of your details to volunteer-involving organisations as part of our service in trying to find
a volunteer opportunity for you?                                    Yes              No

Would you like to become a member of Volunteer Centre Fife?              Yes               No
(minimum age 16)
If YES, we will write to you to confirm your membership




“I confirm the information provided is, to the best of my knowledge, correct.”


Signed: …………………………………………………………….                                    Dated: ………………………
Thank you for completing the form.

				
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