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Action on Elder Abuse
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Volunteer Application Form: All
First Name
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Last Name
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Address
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Post Code
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Email address
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Telephone: Home
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Any Special Needs?
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Why are you interested in volunteering? (Tick all that apply)
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I want to help others
I have spare time and want to use it productively
I am interested in voluntary work
I have personal experience of abuse
I have known people who have been abused
I have skills I can bring to the organisation
Other
What skills, qualities and/or experience could you bring?
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Do you have a full driving licence and access to a car?
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How did you hear about volunteering with AEA?
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Volunteer Centre
Advert
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AEA website
Other
Do you have any criminal convictions/cautions (other than fixed penalty traffic offences). Some applicants may be required to apply for a Disclosure and Barring Service check
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Tell us about your volunteering plans.
What areas of work are you interested in?
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Elder Abuse Recovery Service - telephone only
Elder Abuse Recovery Service - home and community visiting
Administration Volunteer
Awareness Raising volunteer
Research Volunteer
Collection Tin Volunteer
Helpline Volunteer
IT/Computer support
What days and times can you assist?
Please specify what days of the week you can volunteer and, for each day, whether it is morning, afternoon or evening?
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Monday morning
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Would you be interested in volunteering outside the area in which you live?
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Please provide the names and contact details of two people who have known you for at least two years (not relatives) and are willing to act as referees. If possible, one should be from an organisation or group for whom you have worked either as an employe
First Referee: First Name
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First Referee: Last Name
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First Referee: Address;
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First Referee: Email Address
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First Referee: Telephone number
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How long has this person known you?
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In what capacity?
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Second Referee: First Name
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Second Referee: Last Name
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Second Referee: Address
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Second Referee: Email Address
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Second Referee: Telephone Number
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How long has this person known you?
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In what capacity?
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Date of Submission
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General Data Protection Regulation
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I give authority for the data contained in this form to be stored and retained by AEA in furtherance of the charity’s objectives. Details of the charity’s privacy policy, including how to subsequently withdraw consent, is available at http://actiononelderabuse.rit.org.uk/terms-and-conditions
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