Volunteer Application Form

Name in full: *

Date of Birth (if under 18) *

Address: *

Postcode: *

Tel No: *

Mobile No: *

Email: *

Please select which area(s) you are interested in: *

Please tell us about your current and past employment, education and/ or training: *

Please tell us about any experience you have of volunteering: *

Please tell us about any experience you have of working with children and young people: *

Please tell us about any relevant hobbies or interests:

Please tell us why you want to volunteer with us: *

How did you find out about this volunteering opportunity?

Access NI Checks

For some of our activity, for example during Fighting Words Belfast Write Club sessions, we may require you to submit an application for an Access NI Enhanced check, which will include a check with the Disclosure and Barring Service (DBS). This is because the activity is considered regulated as it involves working with unsupervised children, or working with the same children on a regular basis. The Access NI Code of Practice is available at https://www.nidirect.gov.uk/publications/accessni-code-practice You have an opportunity later in this form to tell us confidentially about any criminal convictions you have. Please note, a criminal conviction does not necessarily prevent you from volunteering with us, it will depend on the activity you will be working on and the nature of your conviction. YAA have policies on Recruitment of Ex-offenders and Data Protection & Security, copies are available on request. If required, we will provide you will full information of how to apply for an enhanced check if we need you to submit an application, and you can let us know if you are happy for us to proceed with a DBS barring list check. If you would like more information on the Access NI application process you can find it here: https://www.niacro.co.uk/disclosure-advice

This position may involve regulated activity. Is there any reason why you can’t work in regulated activity? *

YES

Referees: Please supply the name and e-mail address of two referees (if it is not possible to give an e-mail address please give a postal address instead. These referees must cover the last 3 years of work, study or any other circumstance: *

Declaration of Applicant:

Young at Art is committed to protecting children and young people, and keeping them safe from harm. It is also committed to promoting equality and discouraging discrimination. Staff, volunteers and artists are required to comply with its policies on Safeguarding, Health & Safety, Equality and Data Protection. By signing this form, I agree that if offered voluntary work with Young at Art, Young at Art Events or Fighting Words Belfast, I will uphold and support all aspects of its policies as detailed above. I give my permission that my referees may be contacted. I understand that this information will be held confidentially and may not be used for purposes other than described. I declare that the information I have given is true and accurate. *Please Note: As this is an online/typed form you are agreeing to the above Declaration but will be asked to sign a copy of your application for our records.

Signed: *

Date: *

CRIMINAL CONVICTIONS DECLARATION FORM

PRIVATE & CONFIDENTIAL The following section is required in accordance with Young at Art's Child Protection policy. If it is not completed in full, your application cannot be considered. This information will be kept confidential and destroyed after information declared on it has been used.

Full Name: *

Any previous surnames, forenames used: *

Place of birth: *

Previous address (es) within the last five years: *

Do you have any prosecutions, pending or have you ever been convicted at a court or cautioned by the police for any offence? *

YES

If YES, please provide details of all pending prosecutions, convictions, cautions, or bind over orders. *

You should include “spent” convictions and if possible, the offence, approximate date of court hearing and the court which dealt with the case.

EQUALITY MONITORING QUESTIONNAIRE

PRIVATE & CONFIDENTIAL Young at Art provides equality of opportunity for all volunteers. Recruitment is based on the application form and excludes consideration of an applicant’s beliefs, political opinion, gender, race, marital status, age or disability. To demonstrate its commitment to equality, Young at Art needs to monitor all applicants. This is not a compulsory form however your information will give us a true picture of the effectiveness of our policy. This form will be separated from your online application form. Any information provided will be kept confidential and destroyed after information declared on it has been used. This form is confidential and will not be used for selection purposes.

Regardless of whether we pratice religion, most of us in NI are seen as either Protestant or Catholic. *

I am a member of the Protestant Community

I am a member of the Roman Catholic Community

I am a member of neither the Protestant nor Roman Catholic Community

Please tick a box most appropriate to you:

Please indicate if you are: *

MALE

FEMALE

Marital Status: *

MARRIED

SINGLE

WIDOWED

DIVORCED

Disability Discrimination Act

Under the Disability Discrimination Act 1995 a person is considered to have a disability if he/she has or has had a physical or mental impairment which has a substantial and long term effect on his/her ability to carry out normal day-to-day activities.

Do you consider yourself to meet this definition of disability? *

YES

If YES please state the nature or effects of your disability: *

NOTE:

It is a criminal offence under the legislation for a person to ‘give false information in connection with the preparation of the monitoring return’.

Save the date!

Fri 4 - Sat 12 March 2022

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Volunteer Application Form

Save the date!

Fri 4 - Sat 12 March 2022

Volunteer Application Form

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