Culture Team Volunteer Application Form I am aged 16 yrs or over If you are aged 14 or 15 yrs and wish to volunteer, please visit your local library for an application form as a parent or guardian will be required to sign the form. Applicant Date of Birth (required) Title MrMrsMissMsDr First Name (required) Last Name (required) Address (required) Postcode(required) Home Telephone Work Telephone Mobile Number Your Email (required) How may we contact you? (required) Home PhoneWork PhoneMobileEmail How would you prefer to be contacted? (required) WhatsAppEmail Emergency Contact Details (required)In an emergency at the library we may need to contact a close family member or carer. Please provide either a mobile or home number. Name of emergency contact Telephone number What role are you interested in? Your skills should match the role description Culture Volunteer Skills & Experience (required) We need you to specify how your skills and experience (work related or personal) match the role that you are applying for. If applying for multiple roles you must specify for each role otherwise we will not be able to consider you. Include details of any qualifications that you have that may help you as a volunteer. Access and Medical Requirements (required) Do you have any criminal convictions? (required)Please give details but do not declare spent convictions. All information will be treated with strict confidence. A previous criminal record does not mean your application will be automatically rejected as each application is assessed on its own merits. If none please state None References Name of two people who reside in the UK that we can contact for a reference; they need to be over 18 years, must have known you for more than 2 years and should not be a family member. Please provide address and telephone number. Where possible also provide an email address as primary form of contact. Reference 1 (required) Full name and postal address: Postcode (required) Telephone Number (required) Email Address Please state how they know you Reference 2 (required) Full name and postal address: Postcode (required) Telephone Number (required) Email Address Please state how they know you EQUALITIES & DIVERSITY MONITORING At Vision we aim to provide equal opportunities and fair treatment for all volunteers. All details are held in accordance with the Data Protection Act 1998. We would like you to complete these questions in order to help us understand who we are reaching and to better serve everyone in our community. Ethnicity (required) IndianPakistaniBangladeshiAsian OtherCaribbeanAfricanBlack OtherChineseWhite & Black CaribbeanWhite & Black AfricanWhite & AsianMixed OtherWhite EnglishWhite IrishWhite ScottishWhite WelshWhite OtherRather Not Say Disability (required) I am registered disabledI am not registered disabledRather Not Say The Disability Discrimination Act 1995 (DDA) defines a person as disabled if they have a physical or mental impairment which has a substantial and long term effect (i.e. has lasted or is expected to last at least 12 months) adverse effect on one's ability to carry out normal day-to-day activities. This definition includes conditions such as cancer, HIV, mental illness and learning disabilities. Gender (required) MaleFemaleTransgenderRather Not Say Employment (required) Employed Full-timeEmployed Part-timeNon-EmployedSelf-EmployedUnemployedRetiredStudentHouse personUnable to WorkRather Not Say How did you hear about volunteering with the Culture Team? (required) Word of MouthVision RCL WebsiteDo More or Library Social MediaPressLondon Borough of Redbridge WebsiteNational Literacy Trust WebsiteTeam London WebsiteGoogle, Bing, or other search engineRadioenewsletterOther Social MediaOther Website