Community Volunteers Application Form

Name*

First name Surname

Address*

Address 1 Address 2 Town Postcode

Phone*

Email*

Date of birth*

Which post are you interested in?*

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Community Events Volunteer
Safer Homes Volunteer

What skills and experience could you bring to the volunteer position?*

What would you like to achieve through your voluntary work at Cleveland Fire Brigade?*

Can you please outline your full employment history?*

Please include the name of employer, dates of employment, job title, main duties and reason for leaving. Also please outline and explain any gaps in employment.

Any other information relevant to the post

Please use this section to include any other information you think would be relevant to your application.

Do you have any support needs? (Please specify)*

Please enter N/A if not applicable.

Do you have any unspent convictions?*

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Yes
No

If you have any unspent convictions, please provide details below:

Please include a list of offence(s), date of conviction, judgement and sentence.

Do you have the right to volunteer in this country?*

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Yes
No
Unsure

If you are not a citizen of this country you may need to check your visa, but refugees, asylum seekers and many other people are able to volunteer.

How did you hear about this position?*

References*

Please supply the names and addresses of two referees who know you well. This may be a previous or current employer, neighbour, head teacher or a previous volunteering project. Please note that a referee cannot be a relative. They will be contacted on being offered a volunteer position with us.

Diversity Information

Your gender

Is your gender identity the same as the gender you were originally assigned at birth?

Prefer not to say
Yes
No

Your sexual orientation

What's your nationality?

What's your religion?

What's your ethnicity?

Do you consider yourself to be disabled under the Equality Act 2010 or the equivalent Northern Ireland legislation? Under the Equality Act 2010, a person is considered to have a disability if they have a physical or mental impairment, and the impairment has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities. 'Substantial' is defined as 'more than minor or trivial'. An impairment is considered to have a long term effect if it has lasted for at least 12 months; is likely to last for at least 12 month; or is likely to last the rest of the person's life.

Prefer not to say
Yes
No

I agree to the information in this form being stored for the purposes of my application, for monitoring and for reasonable research into the recruitment process, in accordance with the Data Protection Act. I confirm that I have completed this application form and that to the best of my knowledge the information I have provided is true, accurate and correct.*

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Yes
No

Community Volunteer Application Form

Diversity Information