Opening times: Monday - Tuesday 9am - 4pm, Friday 9am - 1.30pm, Closed Wednesday and Thursday
Contact Kelly and Lynne:  0203 288 2160      0203 288 2164     0203 288 2168     0203 288 2180

Email: bardagvb@hotmail.co.uk

@JoanBrandon2

Click here to

Click here to

Direct work related experience                                 Take on a new challenge

Access to training                                                   Help other people

Learn new skills                                                      Improve your employability

Improve local service provision                                  Meet like-minded people

Enhance your CV                                                    You have some spare time

Make new contacts and networks                             Matches your beliefs

Other:  

Advice/Counselling                                Event Management                                  Politics
Animal Welfare                                     Fundraising                                             Poverty
Arts/Culture                                          Gardening                                               Prisoners
Business/Finance                                  LGBT                                                     Race/Ethnicity
Charity Shops                                        Health                                                   Refugees
Children/Young People                           Helplines                                                Religion/Faith
Community Development                        History                                                   Science
Disability                                               Homeless                                               Senior Management
Domestic Violence                                 Human Rights                                         Post  
Drama/Theatre                                       Languages                                              Sport
Drugs/Addiction                                     Law                                                        Team Challenges
Education                                              Life                                                        Women’s Groups
Elderly                                                  Media/PR
Engineering                                           Office/Admin
Entertainment                                        One-off Projects
Environment                                           Online/ICT


Other:


GENDER

    Male                                Female                 Prefer not to say

What age group do you belong to?

    18-25              25-35              35-45              45-55              Over 55              Prefer not to say

How would you describe your sexuality?

    Heterosexual/Straight                            Homosexual/Gay                  Bi-Sexual                Prefer not to say

Do you consider yourself to have a disability?

    Yes                      No                           Prefer not to say

How would you describe your religion/belief?

My religion/belief is:
     I have no religion/belief                              Prefer not to say

How would you describe your nationality?

     British                    English                   Scottish              Welsh               Irish               Prefer not to say

How would you describe your ethnic origin?
     White                    White/Mixed                 White/Black Caribbean              White/Black African                      White/Asian
Any other mixed background (please describe)
     
     Asian               Indian                 Pakistani                Bangladeshi
Any other Asian background (please describe)
     
    Black              Caribbean             African
Any other black background (please describe)
     
    Chinese          Any other ethnic background

     Prefer not to say                                      

Other please specify:

DATE OF APPLICATION:

Section 1: Contact details

TITLE:

Mr:

Mrs:

Miss:

FULL NAME:

How did you find out about the volunteer centre?

Do-it application                                       Library   
Friend                                                         School/College/University
Internet                                                       Telephone Directory
Job Centre                                                 Voluntary Organisation
Media/Radio/Newspaper                        Word of Mouth
Passing by                                                 Poster/Leaflet etc.
Health Professional

ACCESS AND AVAILABILITY

                      Monday             Tuesday           Wednesday          Thursday          Friday          Weekend

Morning       

Afternoon       

Evening       


1.  How much time do you want to spend Volunteering?
     (e.g. two hours/one day)


2.  How long are you available to volunteer?
     (e.g. 6 months/indefinitely)


3.  How far are you willing to travel and what kind of transport would you use?


4.  Have you any restrictions to volunteering?


5.  Do you have any medical/health issues or support needs?
     (e.g. access to building, regular medication, difficulty in standing for long periods etc.)


Is there any additional information that you would like to share with us?


REFERENCES


Please give the name of a person to whom we can contact for a reference.  This must be a non family member that has known you for at least 6 months.

Name:

Address:




Tel No:

Email:


WHAT ARE YOUR MAIN INTERESTS (Tick as many as applicable)


VOLUNTEER REGISTRATION FORM


Thank you for deciding to register as a volunteer.  Please complete this form giving
much information as possible so that a suitable volunteering opportunity can be arranged.  If you need any help or assistance in completing this form then please contact the office.


ABOUT YOUR VOLUNTEERING


EQUALITY AND DIVERSITY MONITORING FORM

The Barking ans Dagenham Volunteer Bureau would like to ensure that we are supporting the whole community in accessing voluntary work.  In order to monitor our success in doing that we would like to take some confidential details from you.  The details from this form willbe recorded separately and are for monitoring purposes only.

Thank you