Volunteer Application Form: All | Action on Elder Abuse

First Name *

Last Name *

Address *

Post Code *

Country *

Email address

Telephone: Home

Telephone: Work

Telephone: Mobile

Any Special Needs? *

Why are you interested in volunteering? (Tick all that apply) *

I want to help othersI have spare time and want to use it productivelyI am interested in voluntary workI have personal experience of abuseI have known people who have been abusedI have skills I can bring to the organisationOther

What skills, qualities and/or experience could you bring? *

Do you have a full driving licence and access to a car? *

YesNo

How did you hear about volunteering with AEA? *

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 *

YesNo

Tell us about your volunteering plans.

What areas of work are you interested in? *

Elder Abuse Recovery Service - telephone only Elder Abuse Recovery Service - home and community visitingAdministration VolunteerAwareness Raising volunteerResearch VolunteerCollection Tin VolunteerHelpline VolunteerIT/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? *

Monday morningMonday afternoonMonday eveningTuesday morningTuesday afternoonTuesday eveningWednesday morningWednesday afternoonWednesday eveningThursday morningThursday afternoonThursday eveningFriday morningFriday afternoonFriday eveningSaturday morningSaturday afternoonSaturday eveningSunday morningSunday afternoonSunday evening

Would you be interested in volunteering outside the area in which you live? *

YesNo

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 *

First Referee: Last Name *

First Referee: Address; *

First Referee: Email Address *

First Referee: Telephone number *

How long has this person known you? *

In what capacity? *

Second Referee: First Name *

Second Referee: Last Name *

Second Referee: Address *

Second Referee: Email Address *

Second Referee: Telephone Number *

How long has this person known you? *

In what capacity? *

Date of Submission *

General Data Protection Regulation *

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