Join our volunteering team!

To become a volunteer please fill out the application form below. But before completing, we would ask you to read our Volunteer Role Description, this will help you decide if volunteering with VICTA is for you.

Read the volunteer role description

We will contact you as soon as we have finished processing your details:

VICTA Volunteer Application Form

Note for applicants completing this form After completion, if you have successfully submitted the form, you should receive a successful submission message. If you do not it may be because you have not completed a required field. After your form has successfully gone through you will also receive notification via email. If you do not receive an email please contact the office on 01908 240 831 as there may have been a problem with your application.

Section 1 - Personal Information

Title

Mr
Mrs
Miss
Other

Full name (including any middle names) *

Surname at birth *

Date used until

Gender *

Male
Female
Other

If other, please explain how you would best describe yourself below

Date of birth *

Age *

Nationality *

Email *

Phone number *

Mobile number *

Address 1 *

Address 2

City *

Post code *

Country *

Date moved to this address *

Please specify the month and year you moved to your previous address

If you have been at your current address for less than five years, please provide your full previous address:

Please include the month and year you moved to your previous addresses

Date moved to this previous address

Please include the month and year you moved to your previous address

Place of birth *

Section Two - Emergency Contact (EC)

EC full name *

Relationship to participant *

EC address *

EC primary number *

EC secondary number

EC email *

Section Three - Further Details

Which type of volunteer role are you interested in? *

Events and activities
Fundraising
Administration

Please tell us about your work or any volunteering you have done in the past. Please include personal experiences, interests and skills e.g. first aid: *

Have you ever been convicted of a criminal offence or received a caution, reprimand or warning? *

Do you have a current DBS? *

If you are attending an event where you are required to hold a VICTA authorised enhanced DBS disclosure. We will contact you asking you to complete the application and produce further identification.

Are you flexible with dates (select no if you require specific dates)? *

If 'no' which dates are you available?

Please explain any health issues and allergies you feel we should be made aware of including any emergency procedures we need to follow: *

Please list any medication (if applicable):

Do you have a vision impairment? *

Blind
Partially Sighted
None

Do you have any particular needs that we should be aware of so as to best support your volunteering with us?

How did you hear about VICTA? *

References

Please supply details of two people that would be able to provide a reference as to your suitability for this role. They should not be family members. If you are not sure about who to put we are happy to discuss this with you.

Referee 1

(Ref 1) name: *

(Ref 1) email: *

(Ref 1) phone number: *

(Ref 1) address 1: *

(Ref 1) address 2: *

(Ref 1) postcode: *

(Ref 1) how does this person know you? *

Referee 2

(Ref 2) name: *

(Ref 2) email: *

(Ref 2) phone number: *

(Ref 2) address 1: *

(Ref 2) address 2: *

(Ref 2) postcode: *

(Ref 2) how does this person know you? *

Photographs and filming

Photographs and video footage may be taken during our activities. These will be used to create photo albums both on our website and on social media after the activity to share with family and friends and to promote the activity. VICTA may also use any photographs or video material taken during an event for the future marketing, publicity and fundraising of activities. Do we have your permission to do so? *

Agreement

By ticking this box you consent to VICTA signing you up to the DBS Volunteer Update Service upon completion of your enhanced DBS check. This will allow VICTA to monitor the status of your DBS prior to an activity should you choose to volunteer with us. As a member of the DBS Volunteer Update Service, you will be required to renew your update service account every year. This is free to do. Further details will be provided by the VICTA Volunteer Coordinator. *

I consent
I do not consent
I am already on the DBS Volunteer Update Service

If you are already a member of the DBS Volunteer Update Service, by ticking this box you agree to provide your Enhanced DBS Certificate details to VICTA to check prior to you attending an activity. *

I consent
I do not consent

Are you happy to be added to our email database so that we can keep you up-to-date with our volunteering opportunities? *

I have read the Volunteer Role Description *

Signed (insert name) *

Date *

Sign up to become a VICTA volunteer