Volunteer sign up form (#3) Volunteer Application Form Thank you for your interest in volunteering with the Springfield Project.Please fill in ALL sections of this form and sign it or type your name. If you need help completing this form please contact Rosalyn Clare on Telephone 0121 777 2722 / 07516 030891 or Email r.clare@springfieldproject.org.uk Full NamePermanent Address Address Line 2CityPostcodeLandlineMobileEmailGender Male Female OtherDate of BirthEthnicityAre you currently looking for paid employment? Yes NoHave you lived in the UK more than 5 years? Yes NoWhen did you come to the UK?Do you have any children aged under 5? Yes NoWhat is the name of your youngest child?Date of birth of your youngest child Have you used any Springfield Children’s Centre services? Please type yes or no. If yes, please tell us here: How did you hear about this volunteering role?Please give information about when you can volunteerWill you be able to volunteer every week, except for school holidays and emergencies? Yes NoWould you like to volunteer with adults or with children? Which role/s are you applying for? Or which group or activity are you interested in?Which languages do you speak?What could you bring to the role/s, such as skills, knowledge and experience?Our Values: The Springfield Project aims to show God’s love in our community. We seek to express the love of God to anyone in need. We embrace diversity and inclusivity, celebrating the way people of different faiths (or no faith) can work together to bring about positive change in the lives of individuals and the community.Do you agree to support these values whilst volunteering with us? Yes NoWhat do you hope to gain from volunteering with us?Please give details of any disabilities, health issues or additional needs.Do you have any criminal convictions, cautions, reprimands, bind-overs or final warnings? Have you been barred or disqualified from working with children? Yes NoPlease enclose full details of any criminal convictions, cautions, reprimands, bind-overs or final warningsReferees Please give details of two referees who are not family members. The main purpose of the reference is that the person can vouch for you being safe around children and vulnerable people. Your references could be a previous manager, a support/ care worker, a landlord, tutor or religious leader. We do accept personal references from friends and neighbours, but they need to come from somebody who has known you for 2 years. If you are known to the Springfield Project staff we will also obtain an internal reference. We recommend that you check that both people are willing to give you a reference and tell them to expect an email from us. This will speed up the process, as getting references often cause delays.Referee 1Full NameEmailPhone numberAddressAddress Line 1Address Line 2CityPostcodeHow do you know this person?Referee 2Full NameEmailPhone numberAddressAddress Line 1Address Line 2CityPostcodeHow do you know this person?Volunteer references Click here to fill in the reference online.Your privacy is important to us, and we want to communicate with people who access our services in a way which has their consent, and which is in line with UK law on data protection. Information about you will be kept on file, including the Springfield Project’s computer system and will be used for statistical monitoring and evaluation purposes. Information held now or gained in the future will not be shared with a third party without your permission. Any information will be kept confidential and in a secure location. If you do not grant consent we will not be able to use your personal data; except in certain limited situations. You can find out more about how we use your data from our “Privacy Notice “on the website. The Springfield Project may contact you or may send information regarding its services and events. Once closed, your file will be kept by the Springfield Project for a minimum of four years. It may be kept longer if policy or law requires this but will be kept for no longer than necessary. We will keep relevant information and correspondence in order to provide references in the future. Throughout this time you will have the right to see the information kept on you. After that, the file and its contents will be safely destroyed. You can withdraw or change your consent at any time by contacting our Data Controller at info@springfieldproject.org.uk. Please note that all processing of your personal data will cease once you have withdrawn consent, other than where this is required by law, but this will not affect any of personal data that has already been processed prior to this point. The Springfield Project is a registered charity in England and Wales, number 1134977. Declaration: I declare that the information I have provided is true and accurate. I consent to an enhanced DBS check being carried out. I understand that the information in this form will be recorded and processed by the Springfield Project as detailed above.SignedDate I consent to have this website store my submitted information so they can respond to my inquirySubmit Form