7 Southcross Street, Bury, BL9 0RS. Tel No 0161 764 6749

Volunteer Application Form 7 Southcross Street, Bury, BL9 0RS. Tel No 0161 764 6749. www.adab.org.uk Thank you for applying to join the ADAB team. Please complete this form fully in black ink and return it to the above address. ADAB is a registered Charity and voluntary/community organisation working with its partners to improve the quality of life for people living in Bury.

Address: Emergency Contact:

Postcode Postcode Telephone Day Mobile No

Availability: Please state the days and times when you are available, i.e. days of the week, times of day, how often? Eg: Tuesday & Wednesday, 2 hours, 1- 3pm every week or month

Please state why you are interested in volunteering and what area of work do you prefer:

1.What kind of work are you interested in i.e. admin, reception, IT, events, fundraising, health & wellbeing

2. What do you hope to gain from becoming a volunteer? Volunteer Application Form 7 Southcross Street, Bury, BL9 0RS. Tel No 0161 764 6749. www.adab.org.uk

Please tell us about any interests, skills, previous paid or voluntary work experiences and qualifications you have that you feel will help you to become a volunteer.

In order to ensure that volunteers are placed in a supportive environment, please give details of any health or other issues which you feel may affect the type of volunteering you want to do.

References Please provide in full, the name, address and telephone number of two referees not related to you Volunteer Application Form 7 Southcross Street, Bury, BL9 0RS. Tel No 0161 764 6749. www.adab.org.uk Title & Name Title & Name

Position: Position:

Address : Address:

Tel Tel Email Email

DATA PROTECTION - Details you have provided will be entered onto our database, which is registered under the Data Protection Act.

DISCLOSURE & BARRING SERVICE - As a volunteer for the ADAB you may be required to complete a DBS check. This may be a condition of your appointment in some circumstances.

SIGNATURE -By signing this application form below you are confirming that all details contained within the application are correct.

Signed: ………………………………………………………….. Date: …………………………………………….

Equal Opportunities Monitoring Volunteer Application Form 7 Southcross Street, Bury, BL9 0RS. Tel No 0161 764 6749. www.adab.org.uk As an equal opportunities employer, we are committed to equality and diversity and would like to offer our services to all sectors of society on an equal basis. You can help us monitor whether we are doing this effectively by completing this form. Completion of this part of the form is optional.

Date of birth

Gender MALE FEMALE

Ethnicity Asian or Asian British – Bangladeshi Mixed – White and Asian Asian or Asian British – Indian Mixed – White and Black African Asian or Asian British – Pakistani Mixed – White and Black Caribbean Asian or Asian British – any other Asian Background Mixed – any other mixed background Black or Black British – African White – British Black or Black British – Caribbean White – Irish Black or Black British – any other Black background White – any other White background Chinese Any other

Do you consider yourself to have any learning Yes No difficulties or disabilities?

Do you consider yourself to have any physical Yes No difficulties or disabilities?

Please tell us if there are any special requirements we should know about and, if necessary, make reasonable adjustments for.

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