Volunteers Digital form - ACCG - African Caribbean Care Group

Full Name

Address

Address Line 2

City

Post Code

Contact Number

Date of Birth

We have a range of volunteering opportunities available. Please tick those that interest you.

Activity support

Welfare support

Event Volunteer

Garden Volunteer

Kitchen Volunteer

Lead Volunteer

Media and communications

Wellingbeing Volunteer

Dementia Support

Carers Support

Finance Support

Business Support

Holistic Therapy Support

Building/ Renovation

Community Support

Other

What skills and qualities do you have that would be relevant to volunteering at ACCG?

Have you any unpaid or paid work experience relevant to ACCG? Please give details of workplace, any volunteer placements, your role, and length of time spent there.

Please mark the times that you are available to volunteer:

Monday

Morning

Afternoon

Flexible

Tuesday

Morning

Afternoon

Flexible

Wednesday

Morning

Afternoon

Flexible

Thursday

Morning

Afternoon

Flexible

Friday

Morning

Afternoon

Flexible

Saturday (Events)

Morning

Afternoon

Flexible

Sunday (Events)

Morning

Afternoon

Flexible

In your own interest and that of our clients, we need a reference from two people who have known you for at least two years. They must not be relatives. If this proves difficult, we will be happy to discuss this further with you.

Full Name Of First Reference

Organisation

Address

Address Line 1

Address Line 2

City

Post Code

Contact Number

Full Name Of Second Reference

Organisation

Address

Address Line 1

Address Line 2

City

Post Code

Contact Number

Do you know anyone who works or volunteers for ACCG?

Yes

Do you know anyone who provides a service to ACCG?

Yes

Some of our work brings us into contact with vulnerable people. For their safety, we may need to carry out a disclosure & barring service check for some of our volunteer roles. Having a criminal conviction will not automatically disqualify you from volunteering with us. Please do advise us below if you have a criminal record with brief details?

Emergency Contacts

Please provide us with two emergency contacts

Name Of First Emergency Contact

Relationship to you

Contact Number

Name Of Second Emergency Contact

Relationship to you

Contact Number

Are you ok for ACCG to contact you with the details you have provided above?

Yes

Information on our database is strictly confidential and we do not pass on any personal data about you to outside organisations and/or individuals without your express personal consent.

In accordance with the data protection act 2018, by signing below, i acknowledge that accg may hold and use personal information about me for volunteering purposes in line with the privacy notice that is available. This information, including that contained in this form can be stored on both manual and computer files, and annonymised statistics can be produced, that is not personally identifiable, to support the operation of the charity.

By signing below i also declare that all information I have supplied on this form is complete and accurate.

Signature

Date

EQUAL OPPORTUNITIES MONITORING FORM

ACCG is an Equal Opportunities employer. Part of this is to monitor the recruitment process to ensure that our procedures are non-discriminatory.
Please complete the monitoring form below. The information you give will be used only for monitoring purposes and will be confidential. It will only be seen by staff monitoring the volunteer programmer and recruitment for said programme.

Equal Opportunities: Gender

Male

Female

Other

Non-Binary

Transgender

Do Not Wish to Disclose

What is your age

Under 45

45-50

51-55

56-60

61-65

65+

What is your ethnic origin

White

British

Irish

Any other white background, please specify

Mixed

White and Black Caribbean

White and Black African

White and Asian

Any other Mixed background, please specify

Asian, Asian British

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background, please specify

Black, Black British

Caribbean

African

Any other Black background, please specify

Other Ethnic Group, please specify

Do Not Wish to Disclose

Yes

Sexual Orientation

Heterosexual

Gay

Lesbian

Bisexual

Prefer Not to Say

Other: (please specify)

Do you consider yourself to have a disability?

Yes

Please mark the times that you are available to volunteer:

In your own interest and that of our clients, we need a reference from two people who have known you for at least two years. They must not be relatives. If this proves difficult, we will be happy to discuss this further with you.

Emergency Contacts

EQUAL OPPORTUNITIES MONITORING FORM

CONTACT US

DONATE TO ACCG

ACCG ACCREDITIONS