Name:
Home Email address:
Home Phone
Mobile:
Main Address:
Postcode:
United Kingdom
Preferred Method(s) of contact
Email
phone
Gender
 Male
Post
 Female
Date of Birth
DD/MM/YYYY
Volunteer Additional Details
Biography (tell us a little about yourself)
Geographical Area (where you want to volunteer)
 St Albans City  Redbourn  London Colney  Wheathampstead  Harpenden  Other
How did you hear about us?
Internet
Friend
Voluntary Organisation
Passing by
Library
Website
Other Please specify
Volunteer Form VBASE CLOUD 2015
School
Social Media
Job centre
Skills Areas you are interested in:
Design
Craft
Photography
Creative
Building work
Carpentry
Catering
Cleaning & tidying
Outdoor work
Leadership
Organising
Stewarding
Policing
Gardening
Construction
Retail
First Aid
DIY/Odd Jobs
Design
Outdoors
Driving
Catering
Counselling
Web design
Electronics
IT
Reading & Writing
Reasoning
Maths
Talking to other
Counselling
Listening
Negotiating
Campaigning
Social Media
Administration
Receptionist
Research
Mentoring
Counselling
Hostels
Care work
Befriending
Support work
Legal Work
Accountancy
Translation
Business Development
Trusteeship
Lobbying
Marketing
Fundraising
Escorting
IT
Technology
Web Development
Virtual Volunteering
Training
Youth Work
Coaching
Teaching
Providing advice
Food banks
Financial Control
Management
Interpretation
Activities you are interested in:
Stewarding
Policing
Gardening
Construction
Retail
First Aid
DIY/Odd Jobs
Design
Outdoors
Driving
Catering
Financial Control
Management
Interpretation
Marketing
Campaigning
Social Media
Administration
Receptionist
Research
Mentoring
Counselling
Hostels
Care work
Befriending
Support work
Providing advice
Food banks
Escorting
Fundraising
IT
Technology
Web development
Virtual volunteering
Training
Youth work
Coaching
Teaching
Legal work
Accountancy
Translation
Business Development
Trusteeship
Lobbying
Area of volunteering you are interested in:
Health & Safety
Emergency Services
Marketing
Food Banks
Media
Refugees
IT
Crisis Support
Legal
Housing
Retail
Hunger
Museums
Women
Volunteer Form VBASE CLOUD 2015
Prisoners
Crime
Veterans & Armed Forces
Addiction
Social care
Hospice
Medicine
Heritage
Literacy
Libraries
Environment
Animals
Wildlife
Conservation
Festivals
Performance
Drama
Sport
Craft
Men
LGBT
Faith
Race & Ethnicity
Immigrants
Justice
Politics
Civil rights
Ex-offenders
Victim Support
Human Rights
Domestic Violence
Families
Young people
Children
Recreation
Poverty
Disaster relief
Unemployed
International Aid
Art
Film
Public events
Music
Previous work/Voluntary work details
Availability
Sat
Sun
Mon
Tue
Wed
Thurs
Fri
AM
PM
EVE
Age Range (please tick one)
Age (if under 15) ……………..
Age group 15-18 19-25 26-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+
Employment Status (please tick one
Status: Employed full time Employed part time  Retired
Self-Employed
Self-Employed part time
In education
In training Unemployed
 Looking after family/home
Health
 Other
Non-Employed
Ethnicity (Please tick one)
British
Irish
Gypsy or Irish Traveller
Other white background
 White and Black African
Other Mixed/Multiple ethnic background
Pakistani
Bangladeshi
White and Asian
Chinese
 Other Black/African/Caribbean background
Other Asian Background
Arab
White & Black Caribbean
African
Indian
Caribbean
Other ethnic group Please specify
Nationality
Religion: Christian Muslim Hinduism Buddhist Sikh Jewish No religion Prefer not to say
Volunteer Form VBASE CLOUD 2015
Disability Status
 Not Disabled
Driver
 Self Classifying (please tick one)
Yes
No
Licence
Yes
 No
Type of Driving Licence
Car Automatic
Car Full
Motorcycle
Car Provisional
HGV - /class 1/2/3
PSV Coach
Volunteering Commitment Type
Full time
Part time
Short term
Do you agree to be contacted by the Volunteer Centre, Centre for Voluntary Service St Albans District?
 Yes
 No
Signed
Date
Data Protection
We will hold your information confidentially and will not send your name and contact details on to another party,
only use anonymous statistical data.
1. At no time will we provide any of your details to a third party without your permission.
2. You have the right to see any information about you that we hold in a retrieval system such as a
computer database or paper index system.
3. You have the right to challenge us about any information relating to you we hold in a retrieval system and
have this changed.
4. You have the right for your details to be removed from a retrieval system.
5. We may compile statistical data from time to time but this will never include references to a particular
individual.
6. In order to keep you up to date with information and events we may include you in our mailing list or
email list.
7. We will never sell or give our mailing lists to a third party.
Carmen Dillon,
Chief Executive Officer
Address: Volunteer Centre, c/o WHCVS, Gracemead House, Woods Avenue, Hatfield, Hertfordshire, AL10 8HX
Tel: 01707 274861
E-mail: volunteering@whcvs.org.uk
Volunteer Form VBASE CLOUD 2015