Thank you for your interest in applying for the Visiting an elderly resident position.
Please complete all the fields below. Fields marked with an * are required fields, so must be completed before submitting your application.
Visiting an elderly resident
Address Line One:*
Address Line Two:*
Town / City:*
Are you under 18 years of age?*Yes
Other areas of interest:AdministrationCateringCommunity WorkFundraising / AppealsGardening / MaintenenceHelping people in our careProfessional skillsSpiritual / ReligiousOther
Please state why you would like to volunteer for St Cuthbert's Care.*
Please state relevant qualifications and note previous volunteering experience.*
Please give any other information that you feel may be relevant.
Rehabilitation of Offenders Act 1974: Do you have any unspent convictions?*Yes
Please note that a conviction will not necessarily exclude you from volunteering with St Cuthbert's Care, but will be taken into account when assessing your suitability.
Do you have a disability?*Yes
The Disability Discrimination Act defines a disability as a "physical or mental impairment which has a substantial and long term adverse effect on ability to carry out normal day to day activities."
Do you have any particular needs in relation to your disability?*
Please share these at your interview and we will make every effort to accommodate your needs.
Please note any special arrangements or support required for interview.
If possible, one reference should be obtained from your last employer or place of voluntary work. If not, please give the names of your previous employer or two professional people.
In what capacity do you know referee one?*
In what capacity do you know referee two?*
The Charity is committed to a policy of equality of opportunity and aims to provide a working and learning environment which is free from unfair discrimination and will enable staff and volunteers to develop to their personal potential.In order to monitor the effectiveness of our policies and procedures all applicants are requested to complete this form. The information you provide will be treated as confidential and will not be taken into consideration for short listing or interview purposes.
How would you describe your cultural / ethnic origin?*AsianAsian BritishBangladeshiBlackBlack BritishBritishCaribbeanChineseIndianIrishPakistaniWhiteWhite and AsianWhite and Black AfricanWhite and Black CaribbeanMixedAny other Asian BackgroundAny other Black backgroundAny other mixed backgroundAny other White background
How did you hear about this volunteer opportunity?*
Word of Mouth
I understand that any offer of voluntary work with St Cuthbert's Care is subject to satisfactory references, DBS Disclosure (where appropriate). I declare the information contained in this application form to be correct. I understand that supplying false or misleading information may lead to any placement being withdrawn. I agree that this information can be stored on both manual and computer files. It will be held securely and only accessed by authorised personnel.
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Company Registration No.1645917
Registered Charity No.512912