CONFIDENTIAL
Position Applied For: Telephone Helpline Volunteer
Name:
Address:
Post Code:
Telephone No:
Email Address:
Mobile Number:
What skills and qualities are you able to offer RSVP?
Describe any experiences you have had that may be relevant to the work of
RSVP. (E.g. experiences from paid or voluntary work or personal commitments).

What do you hope to gain from becoming a volunteer at RSVP?
What most interests you about the work of RSVP?
What most concerns you about the work of RSVP?
Do you have any support needs RSVP should be aware of? (Access arrangements, medical conditions, allergies, etc.) This will not affect your chance to volunteer with us and will remain confidential.

When will you be available to staff the telephone helpline? (NB. Shifts are normally three hours long and we require a commitment from each volunteer of one shift each week for a minimum of six months. E.g. Monday a.m. or Friday p.m.) We are open 7 days a week.
Please give the names of two referees (NOT friends or relatives) who are willing to provide a written reference:
Name:
Address:
Email:
Phone Number:
Relationship to you:
I confirm I am over 18 years old
Name:
Address:
Email:
Phone Number:
Relationship to you:
Signature:
Date:
Please return this application form via email to info@rsvporg.co.uk or post to:
The Rape and Sexual Violence Project
PO Box 9558
Birmingham
B4 7QE
Thank you for the time you have taken to complete this form and the interest you have shown in RSVP.

The Rape & Sexual Violence are committed to equal opportunities. This form is for statistical information only. Applicants are not obliged to fill in the monitoring form. The information you supply on this form will be kept confidential.
Advert
How did you find out about this post?
RSVP website
charityjob.co.uk
Gumtree
Facebook
Twitter
Word of mouth
Other (please state):
Gender
Male Female
Age
18 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65+
Ethnic Origin
These categories are based on the Census 2011 categories and recommended by the Commission for
Racial Equality.
Asian, Asian British, Asian English, Asian
Scottish, or Asian Welsh
Asian / Asian British
Bangladeshi
Chinese
White
British
English
Gypsy or Irish Traveller
Irish
Indian
Pakistani
Other Asian background (please specify):
Black, Black British, Black English, Black
Scottish, or Black Welsh
African
Caribbean
Other Black background (please specify):
Scottish
Welsh
White and Chinese
Other White background (please specify):
Mixed
White and Asian
White and Black African
White and Black Caribbean
Other mixed background (please specify):
Other ethnic group
Arab
Other ethnic group (please specify):

Sexual Orientation
Bisexual
Gay man
Gay woman/lesbian
Heterosexual/straight
Other (please specify):
Marriage and Civil Partnership
Single
Married/in a registered same-sex civil partnership
Separated, but still legally married/in a registered same-sex civil partnership
Divorced/formerly in a same-sex civil partnership which is now legally dissolved
Widowed/Surviving partner from a same-sex civil partnership
Religion or Belief
No religion
Buddhist
Christian (including Church of England,
Catholic, Protestant and all other Christian denominations)
Hindu
Jewish
Muslim
Sikh
Other (please specify):
Mental Health Problems
Would you describe yourself as someone who is experiencing or has experienced mental health problems?
Yes please specify:
No
Disability
The Equality Act 2010 defines a disabled person as someone who has a physical or mental impairment which has a substantial and long-term adverse affect on their ability to carry out normal day-to-day activities.
Do you consider yourself to be disabled?
Yes please specify:
No