Application to volunteer

Name*
Title First Last
Address*
Address Line 1 Address Line 2 Town/City Postcode
Email Address*
Telephone*
Mobile*
Date of birth (optional)
Day
Month
Year
Confirmation*
- I confirm that I am consenting to Jami holding and processing my personal data to keep me informed about Jami’s services, volunteering, courses, events and fundraising.

What role are you applying for?*
Experience, interests and hobbies*
How did you learn about the volunteering opportunity?*
What attracted you to volunteering with Jami? What are your areas of special interest?*
Please outline any relevant experience, skills or hobbies that you have that will help you in this role*
Do you have any support needs? Are there any tasks you feel unable to carry out or any adjustments needed? Do you have any medical conditions or allergies that you would like us to know?*

Please provide the names of two people who are not related to you and who can act as referees. Please ensure at least one of these is a professional reference.
Professional Reference e.g. current or previous employer (teacher or lecturer for work experience students)
Reference 1
Name*
First Last
Address*
Address Line 1 Address Line 2 Town/City Postcode
Email Address*
Telephone*
Reference 2
Name*
First Last
Address*
Address Line 1 Address Line 2 Town/City Postcode
Email Address*
Telephone*

Privacy: staying in touch*
Your privacy is important to us, and we need your consent in order to communicate with you. We would love to stay in touch with you and let you know about our vital services, volunteering, our education work, events and fundraising.
I consent to Jami contacting me by
- Post
- Email
- Phone
Because volunteering at Jami may involve contact with vulnerable people, you are required by the Rehabilitation of Offenders Act 1974 to declare below all cautions and convictions, including spent convictions. Having a conviction will not necessarily prevent you from becoming a volunteer. You may be asked to complete a DBS form. Jami is committed to safeguarding and expects all employees and volunteers to share this commitment.
Any convictions or cautions you wish to declare:
Date of application*
DD slash MM slash YYYY
Please sign below*

Reference 1