Register Your Interest

    Name


    MrMrsMissMrsOther

    First Name (required)

    Last Name (required)

    Contact Details


    Registration Details


    How did you hear about us?

    Word of MouthLibraryHVC WebsiteRichmond FellowshipLeaflet/PosterDo-It.orgLocal AuthorityShaw TrustNewspaperInternetMencapWalking PastJob CentreOther

    Type of voluntary Work


    With which groups or types of people would you like to volunteer? (Please select up to 5 but at least one of each.)

    For what type of role would you consider volunteering? (Please select up to 5 but at least one of each.)

    About you


    Please tell us about any skills, interests and passions you have. Also previous voluntary work
    you have done.

    Availability


    Monday

    Morning
    Afternoon
    Evening

    Tuesday

    Morning
    Afternoon
    Evening

    Wednesday

    Morning
    Afternoon
    Evening

    Thursday

    Morning
    Afternoon
    Evening

    Friday

    Morning
    Afternoon
    Evening

    Saturday

    Morning
    Afternoon
    Evening

    Sunday

    Morning
    Afternoon
    Evening

    Are there any days or times that you would prefer to volunteer or prefer not to volunteer? (ie Mondays only or term time only, not term times, etc.)

    Additional Information


    Is there anything else you would like to disclose to us? This information is kept confidential.

    Havering Volunteer Centre is formalising a list of volunteers who could offer a translation service to organisations and individuals in Havering.

    Please indicate whether you would like to be considered as a translation volunteer and what languages you speak.

    Havering Volunteer Centre is formalising a local disaster recovery plan, having volunteers in the time of a crisis is vital.

    Please indicate if you would like to be contacted in the event of a local disaster and any special skills that you could offer i.e. event management, first aid, etc

    PLEASE READ THIS CAREFULLY

    I give Havering Volunteer Centre my consent to record this information confidentially on a third party secure and encrypted database & manual system and to use it to identify suitable volunteering opportunities for me and for Havering Volunteer Centre statistical purposes.

    Havering Volunteer Centre will also use these details to provide updates on new volunteering opportunities & other relevant information - if you would prefer not to be on the Volunteer Centre mailing list, please let us know.
    Havering Volunteer Centre operates a volunteer referral system where once you have agreed an interest in a volunteering role, your name, telephone number and email address will be passed onto the relevant organisation.
    By signing this registration form you agree for Havering Volunteer Centre to store and transfer your data for the purposes of its core functions.

    The information that we collect
    We collect your contact details including name, email and telephone number

    What We do with your information
    Your data is kept on a database that is password protected and is used to provide you with information about services and activities provided by Havering Volunteer Centre
    Your data is kept for the sole use of Havering Volunteer Centre.
    Privacy Policy
    By signing this registration form you agree for Havering Volunteer Centre to store and transfer your data for the purposes of its core functions.

    Please type your name below to sign

    We want to know you better


    The information you give us will remain strictly confidential and will be used for monitoring purposes
    only, in accordance with the Data Protection Act 1998.


    Are you...

    MaleFemale


    What is your age?


    What is your ethnic group?

    White

    BritishIrishAny other white background

    Mixed

    White and Black CaribbeanWhite and Black AfricanWhite and AsianAny other mixed background

    Asian

    IndianPakistaniBangladeshiChineseAny other Asian background

    Black

    AfricanCaribbeanAny other black background

    Other ethnic group

    ArabAny other ethnic background

    Prefer not to say

    Is English your first language?

    YesNo


    Do you consider yourself to have a disability?

    YesNoUnsure

    The Equality Act 2010 defines disability as "a physical or mental impairment which has a substantial and long-term adverse effect on (a person's) ability to carry out normal day-to-day activities".

    If yes, which of the following best describes your disability? (choose all that apply)

    Mobility difficulties (wheelchair user)Mobility difficulties (non wheelchair user)Sight difficultiesMental health issuesSpeaking difficultiesLong-term illnessHearing difficultiesOtherLearning difficultiesPrefer not to sayIf other, please specify:


    What is your sexual orientation?

    Heterosexual/StraightBisexualGay ManGay Woman/LesbianPrefer not to say