Being A Volunteer with Victim Support - Application

This form must be signed once completed. Please fill in your details, print out the form and sign and date it before returning it to your local Victim Support service.

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Volunteer Application

Title: Name:

Address:
Post Code:

Phone: (daytime) (evening)

Email:

Date of Birth: Place of Birth:

Present Occupation:

Please give your reasons for wanting to be a volunteer with Victim Support.

Do you have any previous personal, voluntary or professional experience that you think would help you in working with Victim Support (eg social, community, voluntary work)?

It helps us at this stage if you have an idea about your availability for volunteering. Please tick the boxes below - this does not commit you at this stage!

When would you normally be available for volunteering?

mornings afternoons evenings

once a week twice a week once a fortnight
other

Volunteering with Victim Support involves contact with victims of crime, either in person or by telephone. What personal qualities/skills can you bring to this role?

Do you have a current driving license?
Do you have use of a car?
Are you willing to use public transport?
Are you in good health?
Can you communicate in sign language? What language(s)?
Can you speak a language other than English? What language(s)?
Have you ever been convicted of a criminal offense?
Do you give your permission for a criminal records check?
(NB - a previous conviction will not necessarily deter your involvement. Information obtained from the police check will be passed, in confidence to Victim Support.)
Because of the confidential nature of the work Victim Support undertakes, it is necessary for us to enquire into the suitability of each applicant. Please give the names and addresses of two people who know you well to whom we can apply for character references. These should not be relatives, and should have been known for atleast one year. Please check that they are prepared to be contacted by Victim Support and to provide a reference for you.
Name: Name:
Address:
Address:
The above information is complete and correct. I understand that statistical information contained on this form and on any application made by me to VSS may be used for planning purposes in accordance with data protection legislation. Personal information shall be treated in strict confidence and only those authorised will have access to it. Information will not be disclosed to any external agency by VSS without my consent except where there is a legal requirement to do so.

Signed: Date:

Thank-you for completing this form.
PLEASE RETURN IT TO YOUR LOCAL VICTIM SUPPORT SERVICE

View our privacy statement.

LOCAL USE (Please do not write anything below here)

SERVICE:
PCheck Outcome: Y/N
To Training Date:
Completed core training: 		LOCAL OFFICE:
Accepted as volunteer:
ID request sent:
ID received:

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