Volunteer Application Form

Introduction

Our volunteers enable blind and partially sighted people of all ages to live the life they want to lead. You should complete this form to apply for a specific volunteer role with Thomas Pocklington Trust (TPT). Please ensure you read the advert and role description carefully before completing this form.

Need Support to complete this form?

Use the contact details below to contact our friendly Volunteering Team.

Email: volunteering@pocklington-trust.org.uk

Call: +44 20 7031 6376

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Volunteer Opportunity Record ID

Volunteer Opportunity Record ID calc

EOI Record ID

Volunteer Opportunity Record Type

Volunteer Status

Contact Record Type ID

Contact ID

DBS Record Type

Is this a role requiring a DBS?

Yes

Is this a suitable for under 18s?

YesNo

New application?

YesNo

Personal Details

First Name

Surname

Preferred Name (if different to First Name)

Preferred pronouns

Street Address

City/Town

Postcode

Region

Email

Please confirm your email address

Email validation field

Mobile

Home Telephone

Preferred Method of Communication

EmailPhonePost

Getting Involved

Are you applying for a role on a Sight Loss Council?

Please select which Sight Loss Council you are applying to

What volunteer role are you applying for?

Please select a time slot (Saturday 7th October)

10:30 -13:1515:00 - 18:45

Please select a time slot (Sunday 8th October)

7:00 - 9:45 11:15 - 13:00 13:00 - 15:00

Where did you hear about this role?

If other, let us know here:

What is the main reason for volunteering at Thomas Pocklington Trust?

Other reason for volunteering

Please provide a brief description of why you would like to volunteer for Thomas Pocklington Trust

About You

Please tell us about any access requirements you may have that relate to your health, disability or culture:

Are you related to or in a relationship with any TPT member of staff, volunteer or beneficiary?

Yes
No

Date of birth (dd/mm/yyyy)

Are you over the age of 18 years? Some of our roles are age specific.

Yes
No

References

We require either one professional reference or two character references covering the past six months for all volunteer roles. Please tick the box below to confirm you can provide the name and contact information required to make a reference request for you.

Please tick this box to confirm

Disclosures Bureau Services (DBS)

If you have a portable DBS reference number, please provide it in the box below:

General Data Protection Regulation

TPT promises to protect your privacy and to follow GDPR law. We collect and use your information (referred to as personal data) because it is in our legitimate interest – we will only use your personal data in ways that you would reasonably expect and so that we can keep the promises we make to you as a volunteer.

Please read our volunteer privacy policy for further information on how long we will keep your data, how your data may be shared and used, and your rights under GDPR law

Declaration

I confirm that the information I have provided on this application form is true. I understand that supplying false or misleading information could lead to TPT withdrawing any offer of a volunteer role.

Please tick this box to confirm

Parent or carer consent to volunteer (for anyone under the age of 18)

I have read the Parent or Carer Guide in respect of this application and I give permission for my son or daughter to undertake all the activities outlined in the role description as part of a volunteering role with Thomas Pocklington Trust.

I understand that although staff or leaders in charge of the activities will take all reasonable care, they cannot necessarily be held responsible for any loss, damage or injury my son or daughter suffers as a result of their volunteering activity.

First Name

Surname

Relationship to young person

Address and postcode (if different to the young person named on this application form)

Phone

Mobile (if different from above)

Thomas Pocklington Trust is committed to safeguarding everyone we work with, so we’ll be in touch to request medical and emergency contact information as well as media consent as part of our volunteer recruitment process.

Contact Information