Age+Connected | Well-being of Older People in Great Yarmouth

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Volunteering Application Pop-up

VOLUNTEER E-APPLICATION

APPLICANT DETAILS

Firstname(s)

Surname

Date of Birth

Address 1

Address 2

Town/City

Postcode

Phone

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WORK HISTORY

SKILLS/HOBBIES

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JOB INTERESTS

Job Interests Text

There are a number of different opportunities for volunteering. Please tick any which are of interest and we can discuss your options at interview.

JOB INTERESTS

Befriending

Occasional – help with events, fundraising, lunch clubs

Other – please give details

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AVAILABILITY

Which days/times are best for you to volunteer?

Availabilty

MON (AM)

MON (PM)

TUE (AM)

TUE (PM)

WED (AM)

WED (PM)

THU (AM)

THU (PM)

FRI (AM)

FRI (PM)

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CRIMINAL CONVICTIONS

The volunteering opportunity you are applying for means that, under the Rehabilitation of Offenders Act (1974), you must declare all convictions whether unspent or not. A conviction does not necessarily mean that you cannot volunteer for us, but we do need to know.

CRIMINAL CONVICTION QUESTIONS

Have you ever been convicted of a criminal offence?

Have you ever received a formal police caution?

Are there any matters pending which may result in a criminal conviction?

CRIMINAL CONVICTION DETAILS

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DATA PRIVACY OPT-IN

By checking, I hereby consent for my personal data to be used by Age Connected in the processing and administration of my membership. It cannot be disclosed it to any third party nor used for marketing purposes without my prior approval.

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IMAGING RIGHTS

Age Concern Great Yarmouth may use photos of you for use in Newsletters/Press Releases/ Presentation etc. to promote the work and raise awareness of Age Concern Great Yarmouth. You may ask to see any picture prior to its use.

IMAGING RIGHTS OPT-IN

Please tick the check box to say you are happy for photo’s of yourself to be used as stated above

Thank you for applying for a Household Membership with AgeConnected (Great Yarmouth).

We will get back to you as soon as possible

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