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Volunteer Application Form

Name

Date of Birth

Job Title

Address

Mobile Number

Work Number

What you would like to do!

Have you volunteered before?

Yes No

If yes, in what capacity?

Why you want to get involved and support STC Foundation?

Your skills, Training, Hobbies & Interests

Health and Safety This will be treated confidentially, and will be stored securely, and the emergency contact will only be contacted for that purpose.

Do you have a disability or a health issue (including pregnancy) which you would like us to take into account? (If yes, please give details below)

Please provide us with an emergency contact name and number for someone we can get in touch with in case of an unlikely emergency when you are volunteering with us.

Name

Telephone

Relationship:

DECLARATION

I have a valid DBS (Disclosure and Barring Services) Certificate

Yes No

If yes, please attach

Criminal Record : I have never been accused of any offense or crime involving moral turpitude, neither one of the same nature. I have no criminal convictions or pending case(s) of criminal activity against me before any prosecution office and judicial authorities in the UK or elsewhere in the world.

I Agree

Volunteer Declaration: I understand as a volunteer, I may become privy to confidential information about STC Foundation, its overseas partners and its donors. I agree to maintain the confidentiality of any information marked 'confidential' as well as any information about STC Foundation or the charity’s internal procedures, business operations, existing or prospective donor information, proprietary business information, personnel information and the like that is not otherwise publicly disclosed by STC Foundation. In accordance with the Data Protection Act, I agree that STC Foundation may hold and use personal information about me for volunteering reasons and to keep in touch with me. This information, including that contained in this form can be stored on both manual or computer files. It will be held securely and only accessed by authorized personnel.

I Agree

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