Volunteer Application Form

Name (required):

Preferred Name:

Date of Birth: (required)

Address (required):

Town (required):

County (required):

Postcode (required):

Contact No. (required):

Email Address:

Preferred Language:
-- Please Select --EnglishWelshOther

Emergency Contact

Whom should we contact in the event of an emergency?

Contact Name:

Contact Number:

Health Issues

Do you have any health issues we should be aware of?

Volunteering Preferences

Where would you like to volunteer in North Powys?
NewtownLlanidloesOther

Other please specify:

What areas of volunteering are you interested in? (Required)
GardeningSupport Worker*Facilitating activities*Counsellor*Fundraising/MarketingAdministration*CleaningCateringBefriending/Advocacy*Support at Home*Food Bank/ShareRetailOther

If other please specify:

Are you aware that we may require a DBS for some volunteer roles? (required)
-- Please Select --YesNo

Availability

Morning (10am–1pm):

MonTuesWedThursFriSatSun

Afternoon (1pm–5pm):

MonTuesWedThursFriSatSun

Evening (after 5pm):

MonTuesWedThursFriSatSun

Other availability:

How far would you be willing to travel to volunteer?

Your Experience & Skills

What experience can you bring to volunteering?

What skills can you bring to volunteering?

Please declare any historical offences you feel may affect your DBS:

References

Please provide TWO references:

Referee 1 (required):

Email Address (required):

Contact Number:

Referrer relationship:

Referee 2 (required):

Email Address (required):

Contact Number:

Referrer relationship:

Volunteering Wales – Use of Personal Data

Volunteering Wales is provided by Third Sector Support Wales (TSSW). The platform is used to record volunteer data against available volunteering opportunities. This information is recorded for the organisation you volunteer with and is used to inform Powys Association of Voluntary Organisations (PAVO) and Wales Council for Voluntary Action (WCVA) for funding purposes.

Please note that your personal data is not publicly available and is only accessible to the organisation you volunteer with, PAVO and WCVA for funding monitoring purposes.

You can view the full privacy notice here:
https://volunteering-wales.net/terms-and-conditions

I agree to Volunteering Wales – use of personal data as based on the above statement.