Find joy, purpose, and new friendships.

Volunteer Enquiry Form

Volunteer Form

1 Basic Details

Email

Confirm email

First name

Last name

Phone

Birthday

Day

Month

Year

2 Your Address

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

3 About You

Do you have experience of working in the care industry?

Yes

No

Has you name been placed on a list of people barred from working with children or vulnerable adults?

Yes

No

Are you currently under investigation by the police?

Yes

No

If you said yes to any of the above questions, please provide more details.

Please share why you are interested in volunteering with us

Can you share any experiences, skills or interests you have?

Do you have any disabilities, health issues or support needs we should know about?

Yes

No

If you said yes to the above question, please provide more details.

Do you have any allergies we should be aware of?

Yes

No

If you said yes to the above question, please provide more details.

4 References

Provide the details of 2 people (not related to you) who know you well and can give a reference.

Person 1

First Name

Last Name

Email address

Phone number

May we contact them prior to an interview?

Yes

No

Person 2

First Name

Last Name

Email address

Phone number

May we contact them prior to an interview?

Yes

No

5 Diversity Information

Do you have an impairment or condition affecting your day to day activities?

Yes

No

Prefer not to say

Safeguarding Self Declaration

Do you have any unspent criminal charges or convictions (including outside the UK)?

Yes

No

Please confirm if you are willing for us to obtain a DBS check if the role requires it.

Yes

No

Data Protection Notice

In submitting this form, you consent to Evergreen Care UK holding your details on file to help us find you a volunteer role to suit within Evergreen Care UK. A copy of our data privacy policy can be found here: https://evergreencareuk.or/data-protection-policy

I consent

Yes

No