Wufoo

Volunteer Application Form

Information given in this form is confidential. Your signature gives us consent to hold the details on this form on a database for volunteering purposes only. All information is held in accordance with the Data Protection Act 1998. The Chief Executive is Data Controller under the Act. You have the right to make a formal request in writing for access to personal data held about you to inspect it and have it corrected if it is wrong.

Resources for Autism will try to find suitable voluntary work for anyone who applies but due to the work we do it may not always be possible to place volunteers at the time they apply. If this is the case the reasons for not being able to place you will be explained. RfA offer training to volunteers and have a six month minimum commitment for all volunteers.

Name Title First Last Suffix
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number
Phone (Mobile)
Email
Alternative/Home Address (Students)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Emergency Contact Name/Next of Kin First Last
Emergency Contact Phone Number
What kind of volunteering might you be interested in? (tick if interested)
Family Support (working one to one in a families home) Driving children/carers to and from sessions Maintenance/gardening Office work/administration Fundraising I.T and database work
About Yourself

Please use this section to tell us anything you think might be useful e.g. why you would like to volunteer, any skills or experience you would wish to use etc.
Do you drive?
Do you have access to a car?
Do you have any medical disorders or allergies we should know about?
Do you have language skills other than English?
When would you be available to do volunteer work? (please tick)
Weekday mornings Weekday afternoons Weekday evenings Weekends
How much voluntary work would you like to do and how often?
Where did you hear about RFA/this volunteering opportunity?
For Your Support

Because much of our volunteering work happens in family homes, access for those with a disability may be an issue. We welcome disabled volunteers where possible but access can be a difficulty. It would be very helpful to have more information about any support needs you might have.
Do you need written information in large print or braille?
Do you use a minicom?
Do you have mobility difficulties?
References

Please give the names of two people for us to contact. At least one should have known you for two years or more. One referee can be a personal reference the other should be an employer or college tutor. We cannot accept references from family members. Employment or education referees must send their reference on headed paper or by work or institution email NOT personal emails.
Name Title First Last Suffix
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone (Daytime)
Length of time known to you?
How is this person known to you?
Name Title First Last Suffix
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone (Daytime)
Length of time known to you?
How is this person known to you?
Disclosure

Volunteers for some roles within RFA will need to be police-checked by way of the Disclosure process through the Criminal Records Bureau (CRB). The process involves disclosure of details of all convictions on the Police National Computer, including spent convictions, and also details of police cautions, reprimands and warnings. It may also include any information previously held on lists maintained by the DFES or DOH (Department of Health). We provide the necessary forms and you receive a copy of any disclosure made by the CRB. The process is confidential, and does not cost you anything.
Signed (your name will count as a signature) First Last
Todays date DD / MM / YYYY
Email
Do Not Fill This Out

Wufoo

About Yourself

For Your Support

References

Disclosure