Online Application Form

Thank you for your interest in volunteering with Total Rehab Centre. The information you provide in this Application form will help us to decide how you might be useful to help us. It is really helpful if you can you can give us as much information as possible about your experiences, interests and availability to volunteer. If you have any questions about this form, please do not hesitate to contact us for more details.

Part 1 - The volunteer role you are applying for

Tick the volunteer package you are interested in:
Solo volunteering
Group volunteering
Family volunteering
Tailor made volunteering
Corporate volunteering

Part 2 - Personal Information

Part 3 - How did you hear about our organization

Word of Mouth
School, college, university
Media (TV, Radio, Newspaper)
Leaflet or Poster
Volunteer Centre
Other, please give details

Part 4 - Your interests and reasons for applying to volunteer

What do you hope to gain from volunteering with us?

Please tell us about any hobbies or interests you have that might be relevant to the role you have applied for.

Part 5 - Your availability

What days and times would best suit you and how often would you be able to volunteer?

Part 6 - Your skills and experience

Please tell us about any paid/voluntary work Experience you have which may be relevant to this role.

Please tell us about any qualification or training you are currently studying for.

We sometimes need volunteers with particular skills. Do you have any of the following skills? Tick any of the boxes which apply.
Languages (other than English)
Basic food Hygiene
First Aid
Sign Language
Driving License (Car)

Please state which languages you speak.

Do you have any other skills you would like to share with us?

Part 7 - References

Please provide details of two people, who have at least known you for two years that we can ask for references regarding your work/ studies/ experience and your suitability to volunteer with us. Wherever possible, these should be current/ past employers, places you have volunteered or a teacher/ tutor/ social worker.

Reference 1:

How do you know this person?

When did you last have contact with this person?

Reference 2:

How do you know this person?

When did you last have contact with this person?

Part 8 - Support and Health needs

Do you have any disabilities, health needs or extra support needs that we should be aware of when you organizing your volunteering?
Yes No

If yes, please give details to help us to plan your volunteering:

Part 9 - Emergency contact details

Please give details of someone we may contact in an emergency if needed.

Part 10 - Data Protection

We value your support and promise to respect your privacy. The data we gather and hold is managed in accordance with the Data protection Act 1998. We will not disclose or share personal information supplied by you with any third party organization without your consent. We would like to keep you informed about the vital work we do and of volunteering opportunities that may be of interest to you, however if you do not wish to receive this information, please let us know by ticking this box:

Part 11 - For parents/ Guardians of volunteers under 16 only

I give permissions for the above person to volunteer with your organization and to hold their details on file.

I understand that this organization will ask the above person to agree to adhere to all relevant policies and procedures and sign forms during training appropriate to their role.

Part 12- Declaration

I understand and agree that data contained in this application in this application form will be used for volunteer recruitment purposes and will be held on a computer database. I also agree Vision For Vulnerable Communities Foundation holding this form in paper format in a secure area.

I confirm that the information I have given is correct and complete and that any false statements or omissions my results in my services to be terminated.

Are you aged under 16?
Yes No

If you answered Yes, please ensure that part 11 is completed.

Part 13 - Confidential (equal opportunities monitoring)

How would you describe your religion or belief?
Born again Christian
Any other religion
Prefer not to say

Do you have any disability?
Yes No

How would you describe your cultural or ethnic origin?

How would you describe your sexual orientation?
Heterosexual / Straight
Gay Man
Gay woman/ Lesbian
Prefer not to say

Many thanks for taking the time to complete this form.

For any queries regarding your application to become a volunteer, please send us an email.

Submit Form