Crosscare Volunteer Application Form Name Address

Tel. Email In case of emergency, who should we contact (give name and mobile no.)? Are you over 18 years of age? Occupation Do you have a full driving licence? How did you hear about Crosscare? What volunteer post are you applying for? (State title of role off Crosscare ad.) What relevant skills can you bring to this post? What relevant practical experience can you bring to this post? What experience do you wish to gain? Have you ever done or are you now doing voluntary work? If so, please give details Why do you want to volunteer with Crosscare? What are your hobbies/ interests? If accepted as a volunteer, it is requested that you endeavour

to volunteer for 1 year. Will you able to meet this requirement? If there is anything which you feel might impair your work as a volunteer, please feel free to mention it here, e.g. health issues PLEASE ENSURE THAT YOU HAVE ANSWERED EVERY QUESTION Please read the following carefully: If accepted as a volunteer with Crosscare, I recognise that: a) b) It is essential to maintain confidentiality about clients of the organisation. It is essential to notify my manager as early as possible if unable to attend on a particular day. (Much of the work relies heavily on volunteers so if you are regularly late or absent without notice we would have to end your placement) I understand that, if accepted, I would be on a 3 month trial period after which my placement would be reviewed. I declare that I am over eighteen, and that the information I have given is, to the best of my knowledge, true and accurate.

c) d)

Signature of Applicant: Date:

_____________________________________ _____________________________________

Please include with your application: 2 letters of reference (character references and/or work related) 2 passport size photos The address is: Crosscare Volunteer Unit, Crosscare, Clonliffe College, Dublin 3.

Declaration form for all persons working as employees or volunteers with Crosscare
Confidential Legislation in both jurisdictions in Ireland have, at their core, the principle that the welfare of children and vulnerable adults must be the paramount consideration. Crosscare therefore ask that everyone working or volunteering for Crosscare, who will come into contact with children or vulnerable adults, or personal details of children or vulnerable adults, abide by good practice by completing and sign this declaration. Do you have any prosecutions pending or have you ever been convicted of a criminal offence or been the subject of a Caution or of a Bound Over Order (please tick) Yes No

If yes, please state below the nature and date(s) of the offence(s) Date of offence: _________________ Nature of offence: ________________________________________________________
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

Have you ever been the subject of disciplinary procedures or been asked to leave employment or voluntary activity due to inappropriate behaviour towards a child? (Please tick) Yes No

If yes, please give details including date(s) below:

______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

Full name (print): _____________________________________________________________________ Any surname previously known by: ______________________________________________________

Address:
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________

Date of birth: __________________ Place of birth: ____________________________

Declaration: I understand that, if it is found that I have withheld information or included any false or misleading information above, I may be removed from my post whether paid or voluntary, without notice. I understand that the information will be kept securely by Crosscare. I hereby declare the information I have provided is accurate.

Signed: __________________________________ Date: __________________________

APPLICATION FOR CHARACTER REFERENCE ___________________________ has applied for the position of Volunteer with CROSSCARE. We ask you to give careful consideration when completing this form and to be truthful at all times. What is the length of time the applicant has been known to you?

In what capacity have you known/do you know the applicant?

What do you feel are the applicants outstanding good points?

What do you feel are the applicants outstanding weak points?

Do you feel the applicant is suited to voluntary work?

Any other comments

Signed ________________________________ Date ______________________ Print name: ____________________________

APPLICATION FOR CHARACTER REFERENCE ___________________________ has applied for the position of Volunteer with CROSSCARE. We ask you to give careful consideration when completing this form and to be truthful at all times. What is the length of time the applicant has been known to you?

In what capacity have you known/do you know the applicant?

What do you feel are the applicants outstanding good points?

What do you feel are the applicants outstanding weak points?

Do you feel the applicant is suited to voluntary work?

Any other comments

Signed ________________________________ Date ______________________ Print name: ____________________________