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Community Navigator Volunteer online application

Thank you for your interest in becoming a Volunteer Community Navigator.

So that we can formerly register your interest, please take a few minutes to complete this form. If you are unsure about any part of this form, please call us on 01344 304404 or email Marie Johnson-Hall for advice. If you prefer, you can download a volunteer registration form (PDF) which you can complete and send to us.

As a part of this specific role you will be asked to complete a Disclosure & Barring form (criminal record check). No checks will be made without your consent.

Your details and preferences

Items in bold must be completed.


Title
 Mr
 Mrs
 Miss
 Ms
 None
 
First name

Surname

Address line 1

Address line 2

Town/City

Postcode

Do you agree to be contacted by involve?
 Yes
 No
 
Contact telephone

Email

How did you hear about this role?


Please tick the boxes to show your availability
SatSunMonTueWedThuFri
AM
PM
EVE


What has attracted you to this role?

What do you enjoy doing? (e.g. gardening, outdoor activities)

What are the main skills and experience you feel you could offer?

Is there anything you specifically do not like doing?

Is there anything else you feel we should know about?

Are you registered disabled?
 Yes
 No
 
Are you a carer?
 Yes
 No
 
Do you have access to transport?
 Yes
 No
 
Can you drive?
 Yes
 No
 
 
 
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 You may use my volunteering story

 

Declaration of Offences (Criminal Convictions)

Because of the nature of the role for which you are applying, under the rehabilitation of offenders Act 1974 (Exemption Order 1975) you are not entitled to withhold information about any criminal convictions that you might have, including those committed whilst a juvenile, which for other purposes may be regarded as spent. Whilst a criminal conviction in itself is not necessarilya bar to volunteering, certain convictions may prohibit you from volunteering.

Have you ever been convicted of a criminal offence?
 Yes
 No