<p> St Chad’s Sanctuary – Volunteer Application Form</p><p>1. Personal details</p><p>Name: ______Address: ______Tel: ______Email: ______Age group: ⃝ 18-30 ⃝ 30-45 ⃝ 45-60 ⃝ 60+</p><p>2.How did you hear about St Chad’s Sanctuary?</p><p>______</p><p>3.Why would you like to volunteer with us?</p><p>______4. Volunteers at the Sanctuary undertake a variety of tasks. Please indicate which of the following you feel willing and able to assist with.</p><p>⃝ sorting clothes ⃝ sorting food/making up food parcels ⃝ sorting other items (bed linen, household items, toiletries etc.) ⃝ registering visitors on the computer ⃝ working in the clothing distribution room ⃝ cleaning ⃝ serving refreshments ⃝ welcoming visitors at the door, ensuring they know when/where to access the services they need ⃝ teaching English ⃝ assisting with English classes ⃝ providing welfare advice/assistance ⃝ offering a ‘listening ear’ to visitors ⃝ fundraising ⃝ helping people fill in forms</p><p>5. Please tell us about any skills and qualifications (including fluency in other languages) that might be useful in your volunteering. ______6. Which days and times are you regularly available?</p><p>10.00 – 2.00 1.00 – 5.00 Monday Tuesday Wednesday Thursday Friday</p><p>7. Are you intending to volunteer on an ongoing basis, or for a fixed period? If the latter, please tell us your likely start and finish dates:</p><p>Start date: ______End date: ______</p><p>8. Do you have any special needs or medical conditions that we should be aware of? </p><p>______</p><p>9. Please give the name and contact details of 2 people who you know in different contexts (not relatives or friends) who are willing to act as character referees for you.</p><p>Name:______Name: ______Address: ______Address: ______Tel: ______Tel: ______Email: ______Email:______</p><p>How do you know this person? ______How do you know this person? ______(e.g. teacher, parish priest, supervisor) (e.g. teacher, parish priest, supervisor) </p><p>10. Do you have any criminal convictions? Yes / No If yes, please provide details on a separate sheet enclosed in a sealed envelope. Please note that for some roles, a DBS certificate may be required. We will cover any necessary costs relating to this.</p><p>Signature: ______Date: ______Please return this form to: Volunteer Co-ordinator, St Chad’s Sanctuary, 72 – 74 Shadwell Street, Birmingham B4 6HA.</p><p>Dropbox>Volunteers>Volunteer application Last updated 17.1.17</p>