Position applied for*

Area of interest/ opportunity*

First Name*

Last Name*

Date of Birth*

National Insurance Number*

Address Line 1*

Address Line 2

City *

Postcode*

Home Number

Mobile Number

Email*

Do you have a criminal record?

YesNo

Before you answer this question we must make you aware that you need to disclose any convictions, cautions, warnings, reprimands and previous or pending investigations as these will all appear on DBS checks, and non-disclosure of the information may prevent your acceptance as a Wigan Youth Zone volunteer. The reason for the above question is based around not only child protection and health and safety but also around trust and honesty between the candidate and the host agency.
If yes please state:

Please note, a record would not necessarily prevent you from becoming a volunteer. If you have any questions, speak to our Volunteer Manager, Sue Shearer on 01942 612 061. We are required to submit a Disclosure and Barring Service check (previously CRB) and will complete the form with you before you begin training.

How did you hear about us? *

DECLARATION

In pressing submit, I declare to the best of my knowledge and belief that the information given is correct. I understand that any false or misleading information given either in this application form. Volunteering at Wigan Youth Zone is a privileged position and you are a role model for young people to follow. If we deem any of your actions unsuitable we reserve the right to terminate your position as a volunteer at any time with immediate effect. This is in line with our safeguarding practice.

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