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: JEBrandon30@outlook.com


@JoanBrandon2

Click here to

Click here to

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                                      

Direct work related experience

Access to training

Learn new skills

Improve local service provision

Enhance your CV

Make new contacts and networks

Other:  

Advice/Counselling
Animal Welfare
Arts/Culture
Business/Finance
Charity Shops
Children/Young People
Community Development
Disability
Domestic Violence
Drama/Theatre
Drugs/Addiction
Education
Elderly
Engineering
Entertainment
Environment


Other:


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
Friend
Internet
Job Centre
Media/Radio/Newspaper
Passing by
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)


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.

Event Management
Fundraising
Gardening
LGBT
Health
Helplines
History
Homeless
Human Rights   
Languages
Law
Life
Media/PR
Office/Admin
One-off Projects
Online/ICT


Politics
Poverty
Prisoners
Race/Ethnicity
Refugees
Religion/Faith
Science
Senior Management
Post  
Sport
Team Challenges
Women’s Groups


Take on a new challenge

Help other people

Improve your employability

Meet like-minded people

You have some spare time

Matches your beliefs

Library   
School/College/University
Telephone Directory
Voluntary Organisation
Word of Mouth
Poster/Leaflet etc.

Thank you

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.