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Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Contact Number *
How would you like to support Street Assist Edinburgh?
Welfare Officer First Aider Administration Fundraising/Events Driver Other
References

Before starting as a Volunteer with Street Assist Edinburgh we ask candidates to provide 2 referees.
Referee 1
Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
How do you know this person *
Referee 2
Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
How do you know this person *
About you
Tell us a bit about yourself *
What would you like to gain from volunteering with us? *
Criminal Conviction Self Declaration

We ask all volunteers with us to give us information of previous convictions. Having a previous conviction does not automatically bar you from volunteering with us but it will help us, in discussion with you, decide if the opportunity you have applied for is the most suitable. All information given here will be kept in your personal file which can only be accessed by authorised staff.

Under the terms of the Rehabilitation of Offenders Act 1974 you are entitled to withhold information about any convictions against you which are now "spent". Please see Spent convictions for full details about this. You may only withhold information on "spent" convictions.

Please ask us if you need any help completing this section of the form and we will be happy to assist you.
Do you have Criminal Convictions and or Pending Criminal Convictions? *
Yes No
If 'Yes' please specify below
Equal opertunities

Street Assist Edinburgh is fully inclusive, and we take equality of opportunity very seriously.

To help us monitor the effectiveness of our Equal Opportunities and Recruitment Policies we would like you to fill in this section. If you choose to complete it, any information given is treated in the strictest confidence.
Do you consider yourself to have a Disability *
Yes No
Are there any other areas of support that you might need to enable you to volunteer with Street Assist Edinburgh? *
Please specify your ethnicity
Example 'White Scottish' , Chinese. If you do not wish to answer please leave blank.
Gender *
Religion *
In case of emergency

Please fill out the information below
Do you have any allergies or medical conditions we should be aware of? *
Emergency contact

Please Specify 2 Emergency Contacts Below:
Emergency contact 1
Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number *
Emergency contact 2
Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number *
How did you hear about us?
Do Not Fill This Out

Wufoo

References

Referee 1

Referee 2

About you

Criminal Conviction Self Declaration

Equal opertunities

In case of emergency

Emergency contact

Emergency contact 1

Emergency contact 2