Volunteer application form Personal details First name * Last name * Home address * Home address Home address Home address Zip/Postal Zip/Postal City City Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Email * Home telephone * Mobile * For legal reasons, some of our volunteer roles are restricted to certain age groups. We'll talk to you about the opportunities available to you when we receive your application. Please indicate your age group: * Under 16 years old 16-17 years old 18 years old or above Availability Please let us know availability (days, times, etc) * Charity Area Interest Please let us know which area/s of the charity you are interested in volunteering for by ticking the below: * Helping out in a Life House Helping out in a Life Office Practical Support Counselling/Skilled listening* (must hold an appropriate qualification in counselling or skilled listening) Retail – Customer facing Retail – Non customer facing Outreach and fundraising events Community Fundraising Church Representation General administration Other (please specify)Other (please specify) Why would you like to volunteer for Life? * Tell us about any skills, interests or hobbies you have that could be useful for volunteering with Life… * Tell us about any relevant volunteering experience or employment that you have… * How did you hear about volunteering opportunities with Life? * Social media Personal connection Search engine School talk Word of mouth Through your local church Website Visiting a Life Shop Other (please specify)Other (please specify) Are you related to anyone who works for Life? * Yes No Unspent convictions In order to ensure you are the right fit for the role for which you have applied we ask you to disclose any unspent convictions below. You are not required to disclose any convictions which are considered 'spent' under the Rehabilitation of Offender Act. Having a criminal record will not automatically exclude you from volunteering. Each case will be considered on its merits and in relation to the particular volunteer role. The circumstances of the offence will always be taken into account so please give as much information as possible. As with all of your details, this information is treated in strictest confidence. Do you have any unspent convictions? * Yes No Next of Kin Details (for contact in an emergency) Full name * Their home address * Their home address Their home address Their home address Zip/Postal Zip/Postal City City Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Phone * Relationship to you * References All potential volunteers are asked to provide details of two referees, and the references they provide help us assess your involvement with Life. Your referees should be people who know you well and are willing to provide a reference for you. Your referees cannot be family members and ideally should have known you for at least six months. Name of first referee * Phone of first referee * Email address of first referee * How do they know you? * Name of second referee * Phone of second referee * Email address of second referee * How do they know you? * Equality and Diversity Life aims to provide equal opportunities and fair treatment for all volunteers. The information below is anonymous and will not be stored with any identifying information about you. All details are held in accordance with data protection legislation. The information below will be used to provide an overall profile analysis of our volunteers helping Life to achieve an equal and diverse volunteer base. You do NOT have to complete this section if you do not wish to do so. Date of birth Gender Male Female OtherOther Prefer not to say Religion Buddhist Hindu Jewish Christian - Catholic Christian - Protestant / non-denominational Christian - Orthodox Muslim Sikh No religion Prefer not to say Ethnic origin White - Scottish White - Other British White -Gypsy/Traveller White - Polish White - Irish White - Other Mixed / Multiple Ethnic Groups - White Black Caribbean Mixed / Multiple Ethnic Groups - White Black African Mixed / Multiple Ethnic Groups - White Asian Mixed / Multiple Ethnic Groups - Other Mixed Asian / Asian British - Indian Asian / Asian British - Pakistani Asian / Asian British - Bangladeshi Asian / Asian British - Chinese Asian / Asian British - Other Asian Black / African / Caribbean / Black British - African Black / African / Caribbean / Black British - Caribbean Black / African / Caribbean / Black British - Other Other Ethnic group - Arab Other Ethnic group - Other Other Ethnic group - Prefer Not to Say Do you consider yourself to have a disability? Section 6 (1) of the Equality Act states that a person has a disability if that person has a physical or mental impairment, and the impairment has a substantial and long-term adverse effect on that person's ability to carry out normal day-to-day activities. Yes No Prefer not to say Declaration I confirm that the information entered above is true and complete. I give consent for Life to record, store and process my personal information in connection with their volunteer programme. I understand that I have the right to view my personal data, to object to or amend any part of my record, or to erase it. I understand that my position as a volunteer for Life is conditional upon Life keeping and maintaining such records. I agree to abide by the General Data Protection Regulations 2018. * I agree reCAPTCHA Submit your application Δ