Volunteer Application

Your Details

First Name

Last Name

Street Address

Street Address Line 2

Street Address Line 3

City

Postal Code

Phone Number

Date of Birth

Day

Month

Year

Volunteer Application

Please tell us why you are interested in volunteering with MAECare

Tell us about any interests or skills you have that might support your volunteering and support MAECare eg, language skills, craft skills etc

Please give a summary of relevant paid employment and/or voluntary work

How often could you volunteer?

What kind of volunteering would you like to do?

What days and times are you available?

First Reference

Please give names, addresses and telephone numbers of 2 references and say how they came to know you. They should not be relatives.

Second Reference

Have you ever had any Criminal Convictions or Police Cautions?

Yes

Details of Criminal Convictions

If you have answered 'Yes' to the previous question, please give details, dates, etc. A Disclosure and Barring Service Check may be necessary for some roles. There have been changes in the rules about which minor convictions you need to declare. Please ask if you are unsure.

How did you hear about MAECare?

Date Application Submitted

Day

Month

Year

Declaration *

I agree

I declare that the details given on this form are true and that I have not withheld any information which may bar me from working with vulnerable adults.

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