The Wayside Day Centre

STEP PEER EMPLOYMENT PROGRAM Volunteering Application

Personal Details

Surname:

First Name:

Address:

Postcode:

Home Telephone Number:

Mobile Telephone Number:

Skills and Experience

Please tell us about any experiences or skills that you can bring to the post of volunteering at The Marie Trust.

Please tell us why you have chosen to volunteer at The Marie Trust

If you were successful in gaining this opportunity, what would you have hoped to have achieved by the end of the placement?

1 This opportunities is targeting individual’s who are affected by homelessness, mental health issues, addiction or offending behaviour. Can you advise if you meet this criteria?

Volunteer Opportunities

Please circle your preference for volunteering in The Marie Trust.

Kitchen Assistant Role Days: Monday / Tuesday/Wednesday 9.00-3.00 Wednesday/Thursday/Friday 9.00-3.00 Thursday and Friday 9.00-3.00

Health and Support Needs

It helps us to know of any health conditions and/or support needs that you may have to ensure we provide for your needs appropriately. Please detail any health conditions, medication or support needs that are relevant for us to know.

Criminal Record

Please let us know if you have any criminal convictions, date of conviction, the offence and circumstances, or if you are in the process of being investigated.

2 Reference

Please provide the name of someone who can provide us with a reference on your behalf. We ask that this person is not a family member or friend.

Referee’s Name ……………………………………………………………………………………………………

Relationship to Applicant …………………………………………………………………………………………

Address ………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………… ………..

…………………………………………………………………………………………………………………… …………

Telephone Number …………………………………………………………………………………………………..

I agree to the above information being kept, securely and in confidence, within the requirements of the Data Protection Act 1998. I declare that, to the best of my knowledge, the information I have provided is accurate and correct.

Signed …………………………………………………………Date ………………………………

Please complete this form and return to:

Skills Development, Training & Employability Project (S.T.E.P.) The Marie Trust, 32 Midland Street, Glasgow G1 4PR T: (0141) 221 0169