Editable Extract from Museum of Croydon: Volunteer Scheme, 2015-16, Appendix A

Editable extract from Museum of Croydon: Volunteer scheme, 2015-16, Appendix A

Appendix A: Museum of Croydon: Volunteer application form

Thank you for your interest in volunteering for the Museum of Croydon. To apply for a particular volunteer role advertised on our website, please complete this form and return it to:

Collections Access Officer, Museum of Croydon, Croydon Clocktower, Katharine Street, Croydon, CR9 1ET.

An editable version of this form is available from and this can be completed and emailed to

If you have any questions about the role you are interested in or how to complete this form, please contact us; we will be happy to help.

Tel: 020 8253 1022Email:

About you

Title: Forename(s):Surname:

Address:

Postcode:

Telephone Number:

Email:

Date of birth:

Town and country of birth:

Language(s) spoken:

Length of stay in the UK:

Which volunteer role are you applying for?

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Why do you want to be a volunteer with the Museum of Croydon? Please add extra sheets if necessary.

What skills, experience or training do you have that might help you in the volunteer role you are applying for? Please add extra sheets if necessary.

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Previous relevant experience

Please give details of any paid or voluntary work you have undertaken, which you feel is relevant to the role you are applying for.

Name, address and telephone number of organisation / Dates / Position held and main duties / Reason for leaving
From / To

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Requirements for undertaking volunteer work

Disclosure & barring service check

Before you are appointed to any volunteer role, we require the contact details of two referees. Depending on the role, we may require you to complete a disclosure & barring service check through the Disclosure & Barring Service (DBS). If required, this will be clearly indicated on the role description.

Please indicate that you are willing to undergo a disclosure & barring service check:

Yes / No / Not a requirement of the role applied for

Occupational Health

Before joining the Council, it is important for you and the Council to know whether you will be able to do your job without adversely affecting the health and safety of yourself or others. During the interview process we will ask you to provide details of any ongoing health concerns which may impact on your ability to carry out the volunteer role.

Please indicate that you are willing to provide details of ongoing health concerns:

Yes / No

References

Please give details of two people (who are not related to you) who can comment on your suitability as a volunteer. If you have previously worked as paid worker or a volunteer with another organisation, please provide at least one referee from that organisation.

The Museum of Croydon reserves the right to contact all previous organisations where you have worked in a paid or unpaid capacity.

Referee 1
Name:
Role / relationship to you:
Address:
Postcode:
Telephone Number:
Email: / Referee 2
Name:
Role / relationship to you:
Address:
Postcode:
Telephone Number:
Email:

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Declaration and signature

I declare that the answers and statements in this application are complete and accurate and that I will inform the Museum of Croydon of any changes in my circumstances which may affect my voluntary work.

Signature: ______Date: ______

Please return this form to:

Collections Access Officer, Museum of Croydon, Croydon Clocktower, Katharine Street, Croydon, CR9 1ET

If you have any questions about the role or how to complete this form, please contact us; we will be happy to help.

Tel: 020 8253 1022Email:

Museum of Croydon, Croydon Clocktower, Katharine Street, Croydon, CR9 1ET. Tel: 020 8253 1022

email: or ; web: museumofcroydon.com

Revised and updated: November 2015Page 1 of 5