First Name
Last Name
Pronouns
Email
Phone Number
Area of Residence
Preferred Method of Contact What motivated you to apply to volunteer with Citizens Advice?
Are you interested in any particular type of volunteer role?
Is there anything you have done over the past few years that you would like to tell us about?
Why do you want to volunteer for the CA? What do you hope to get from the experience?
What do you think are some of the main problems facing your community?
It is useful to know when you will be available to volunteer. Please indicate below the times when you are generally available:
Please indicate approximately how many hours or days per week you would like to volunteer for:
Are there any times that you are unlikely to be available, e.g. school holidays?
Is there anything else you would like to say about yourself?
Reference One Name
Reference One Address
Reference One Email
Reference Two Name
Reference Two Address
Reference Two Email
Please tell us about any specific needs you would like us to take into account, either at the interview or if we offer you a volunteer role e.g. mobility. This information will be treated as strictly confidential.
Emergency Contact Name
Emergency Contact Address
Emergency Contact Phone Number
Emergency Contact Email
Relationship To You
Please note: To ensure the safety of our clients, the Citizens Advice service requires that all volunteers who have direct access to clients, where any part of the work is primarily targeted at legally defined vulnerable adults or children, have their criminal records checked. However, the Citizens Advice service is committed to the promotion and delivery of equal opportunities to volunteers and so has a policy to ensure ex-offenders are not discriminated against.
Signed (Type Your Name)
Date
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