The Mind Shop Volunteer Application Online Form | Mind in the Vale of Glamorgan

Personal Information

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Surname: *

First name: *

Address: *

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Date of Birth: *

Telephone (day): *

Post Code: *

Telephone (evening):

Emergency Contact: *

Health & Safety

Please state any allergies:

Please state any health problems:

Medication:

Do you request any reasonable adjustments to volunteer with us?

Health and Safety will be explained prior to your starting date and training will be organised.

Availability

Times available (Please tick when available)

Project: Llantwit Major Charity Shop (retail experience)

Can you let us know your work or volunteering experience: *

Qualifications, skills, or completed training courses: *

Is there anything else you would like to tell us? *

How did you hear about us? *

Reference 1

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Name: *

Telephone No:

Address: *

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Postcode:

Email:

How do you know this person?

How long have you known this person?

Reference 2

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Name: *

Telephone No:

Address: *

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Postcode:

Email:

How do you know this person?

How long have you known this person?

I declare that the information given on this form is, to the best of my knowledge, true and complete and agree that it should form part of the basis of my engagement.

Declaration *

Declaration

I confirm that Mind in the Vale of Glamorgan can keep my information under GDPR legislation and in line with Mind in the Vale of Glamorgan’s GDPR Policy.

GDPR consent *

GDPR consent

Confidential Equality and Diversity Monitoring Form

Mind in the Vale is committed to developing positive policies to promote diversity within the organisation. To assist us in monitoring the effectiveness of this policy, we are grateful if you would complete the form below. The information is completely confidential and is used to ensure that employment opportunities are equally available to all suitably qualified candidates.

This form is detached from all applications received by post or e-mail.

2.Ethnicity

Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box (taken from the 2021 Census).

7. In the past, I have been *

A Mind employee
A Mind volunteer
A user of Mind’s services

8. Do you have lived experience of mental health (personal experience of mental health issue or as a carer)? *

Yes
No
Prefer Not to Say

Please provide details of how you became aware of this vacancy. This will help us to monitor the effectiveness of the recruitment media we use. Thank you for your cooperation.

Where did you see this job advertised? (Please be as specific as possible) *

Name: *

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Post applied for: *

Reference No. *

Location of post: *

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Personal Information

Health & Safety

Availability

Confidential Equality and Diversity Monitoring Form