Helpline 0808 801 0322

 

Apply to volunteer with Bliss

* Role you are applying for:
Name of unit where Champion is needed:
Title:
* Full name:
* Date of birth:
* Address 1
Address 2
* Town
* Postcode
* Best contact number:
* Email
* What weekday and time between 9.00am to 4.00pm is best to contact you?
* Emergency contact name:
* Emergency contact number:
* Emergency contact relationship to you:
Please tell us below why you want to volunteer with Bliss. (Please note that if you have had a premature or sick baby, Bliss requires you to wait at least one year after your baby has been discharged from neonatal care to become a volunteer)
Please explain the skills and experience that you have that will help you in your volunteering role?
Please explain what you hope to gain from your volunteering at Bliss?

Please provide us with the contact details of two people we can contact to act as character referees for you (this cannot be a relative or partner).

Referee one:

* Name:
* Address:
* Post code:
* Best contact number:
* Email
* How do you know this person?

Referee Two:

* Name:
* Address:
* Post code:
* Best contact number:
* Email
* How do you know this person?

Bliss will use the information you have provided to process your application as a volunteer. The data we gather and hold is managed in accordance with the Data Protection Act (1998). If you are successful in your application, we will contact you to arrange an informal interview and to discuss next steps with your application. We will also keep you up to date with volunteering news in future.

* If you agree to be contacted for this purpose, please select as applicable below:

Due to the nature of the volunteering roles, you are required by the Rehabilitation of Offenders Act 1974 to declare all criminal convictions, including those which are spent. Please note that the disclosure of a conviction or caution may not prevent you from volunteering or working for Bliss, but failure to disclose any conviction or caution will. Please mark the appropriate box.

* Have you ever been convicted of a criminal offence or been subject to a caution or bound over order?
* Has any social service department or police service ever conducted an enquiry or investigation about any allegations or concerns that you may pose an actual or potential risk to children or young people?
* Have you ever been convicted of any offence relating to children or young people?
* Have you ever been the subject of disciplinary procedures or have been asked to leave employment or voluntary activity due to inappropriate behaviour towards a child?
If Yes, could you please explain what your conviction was and how it was handled.

I confirm that the information I have provided on this form is correct to the best of my knowledge and I consent to my personal data being processed and kept for the purposes described in section 4 in accordance with the Data Protection Act 1998. I understand that some volunteer roles will require a DBS check, the expense of which will be covered by Bliss.

* Name:
* Date: