Volunteer Application Form


Please fill in our application form below.
* First Name:
* Surname:
Street Address:
Town/City:
County:
Postcode:
Telephone (Day):
Telephone (Evening):
Mobile:
Email:
Where did you hear about The Passage?:
What are the reasons for wishing to volunteer at The Passage?:
What experience have you had as a volunteer?:
What experience have you had in paid employment?:
Please tick the time/s you are available:
Mon Tue Wed Thu Fri Sat Sun
Morning
Afternoon
Evening
Alternatively, please indicate how many hours a day you would be willing to volunteer:
Do you speak any languages other than English? (Pease state):
Please tick which of these areas you are interested in being involved in:
Helping with counter service, serving food, washing up, etc
Day Centre (Weekday) 8:00 – 10:00
Day Centre (Weekday) 11:30 – 2:00
Day Centre Weekend hours 8:30 – 12:00
Helping at the Night Shelter: 5pm – 7pm
Talking with Clients
Escorting clients to appointments (hospital, etc)
Collecting documents for clients (birth certificates, travel tickets, etc)
DIY Maintenance
Driving the van/helping with collections
IT training
Administration/computers/reception
Fundraising
Finance/bookkeeping
Do you possess any other skills/experience that you think may be useful (e.g. hairdressing, art, creative writing, complementary therapies, group work skills, etc)? Please specify :

REFERENCES
Please supply the names of two people who can give references for you, these need not be employers, but must not be members of your family.
Full Name:
Relationship:
Email:
Telephone:
Address:
Full Name:
Relationship:
Email:
Telephone:
Address:

DECLARATIONS
Having a criminal record will not necessarily prevent you from volunteering at The Passage. It will depend on the type of crime (i.e. violence, sexual or physical assault or embezzlement, if wishing to be involved in fundraising/finance). If you have any concerns and wish to speak in confidence to the Volunteer Co-ordinator, please contact Sarah Norwood on 020 7592 1863.
Rehabilitation of Offenders Act 1974 All information will be treated in the strictest confidence.
Have you ever been convicted of a criminal offence?:
If ‘Yes’ please provide details:
Please note: All volunteers will require CRB checks.

EMERGENCY CONTACT DETAILS
Please fill in these details so in the event of an accident or emergency, The Passage can notify a family member or partner. Please also fill in the section about known medical conditions if relevant. All information will be held in the strictest confidence.
Name:
Volunteer Role:
Emergency Contact Name:
Emergency Contact Number:
Relationship of this person to you?:
Any known medical conditions?:
Doctor/GP Name & Phone Number:

EQUAL OPPORTUNITIES FORM
The Passage is committed to equality of opportunity in every aspect of its work. The data collected from this form helps The Passage to monitor the success of its equal opportunity policy.Please note this form is completely anonymous and all information is confidential.
Are you:
Age range:
Employment Status:
Do you consider yourself to have a disability?:
How would you describe your ethnicity?:

Donate online now

or call 0845 880 0689

A night under the stars

The Passage’s tenth fund raising concert ‘a night under the stars’ will be held in the Royal Festival Hall on Thursday 7 October 2010. The 2009 concert raised the magnificent sum of £80,000.