To Apply
Application to Volunteer
Please complete the form as fully as possible
Personal details
Your Title: Mr Ms Miss Mrs Dr
Your First Name(s) (Required) :
Your Surname(s) (Required) :
Your Date of Birth (Required) :
Your Age (Required) :
Contact Details
Email (Required) :
Your Address (Required) :
Your Postcode (Required) :
Term-time Address (if different):
Term-time Postcode:
Please list ALL your contact telephone numbers (Required) :
How do you prefer to be contacted? (e.g. email, post to term-time address, etc.):
Availability
Any amount of time you can give us is valuable be it an hour now and then or a regular commitment. I can be available: Please Choose Every Week Every Month For One-off Events
I can be available at the following times (please tick all that apply):
Skills and Experience
Do you have particular skills or experiences that would benefit Whizz-Kidz? (please tick all that apply):
Wheelchair Proficiency:
Wheelchair Knowledge:
Occupational Therapy:
Event Organising:
Public Speaking:
Writing Articles:
Fundraising:
IT Proficiency:
Mentoring:
Do you have any other skills or experiences that could benefit Whizz-Kidz? (please give details of these.):
Other information
Do you have a car available for volunteer purposes? (reasonable expenses provided)? Please Choose Yes No
Do you have any requirements that we need to be aware of? For example communication support, ramp access, mobility impairments, large print. Remember this will not affect your volunteering with us but help us to prepare where possible. (please give details of these.):
Areas of Interest
We want volunteers to get involved in as many areas of the organisation as possible. Which areas interest you? (please tick all that apply):
Attending local "Ambassadors Clubs" for young disabled people:
Wheelchair Skills Training:
Buddying - providing one to one support:
Fundraising Activities:
Disability Awareness Campaigns:
Public Speaking:
Organising and Representing Whizz-Kidz at Events:
Administrative Support at London HQ or Regional Centres:
Referees
Please give the names of two referees. Referees can be employees, teachers or tutors but should not be relatives. You need to have known them for at least 12 months.
Referee 1
Name (Required) :
Position (Required) :
Organisation (Required) :
Address (Required) :
Tel. no (Required) :
Email address (Required) :
Referee 2
Name (Required) :
Position (Required) :
Organisation (Required) :
Address (Required) :
Tel. no (Required) :
Email address (Required) :
Declaration
Please note that all volunteer tasks that involve direct contact with children, young people and vulnerable adults will require Criminal Records Bureau Disclosure.
Do you have any unspent convictions? Please Choose Yes No
If yes, please give details:
I declare that the details in this application are correct to the best of my knowledge. I understand that some tasks involved in my role may be of a sensitive nature and I agree to maintain confidentiality at all times. I agree that if I am 18 yrs or older applying for a role that involves direct contact with children, young people or vulnerable adults for example, Ambassador Clubs, Wheelchair Skills training or when Buddying, that I must undergo Criminal Records Bureau disclosure prior to commencement. This is because Whizz-Kidz has a "duty of care" to its beneficiaries. In accordance with the Data Protection Act 1998 I agree Whizz-Kidz may hold and use personal information about me for volunteering purposes and keep in touch with me. This information can be stored on manual and computer files. I agree that my behaviour will conform at all times to the safe working practices that Whizz-Kidz requires of all volunteers. I agree that to the best of my ability my actions will uphold the integrity of the charity and recognise that failure to do could result in the termination of the relationship. :
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