Volunteer’s Referral Form

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Gender*
NoK/emergency contact
Please click on the Age UK Sunderland services in which you are interested Please note: all posts are subject to a 6 – 8 week trial period
As you will be working with vulnerable members of the community, we require two references, one of which should be work related. The referees should not be related to you, or living with you as your partner, and should have known you for at least two years.

First Referee

Second Referee

Data Protection: I confirm the information I have given to Age UK Sunderland is correct. I agree that Age UK Sunderland may process that information. I understand that Age UK Sunderland operates in accordance with the principles of the Data Protection Act, 1998 and that the information given will be used by Age UK Sunderland and its trading subsidiary Age UK Sunderland Services Limited. I understand that information will only be shared with third parties and partner organisations when necessary to provide a relevant service.*

Equality and Diversity

Age UK Sunderland is committed to the principle of equal opportunity in employment for all its employees, volunteers and applicants for employment, regardless of their age, race, gender, marital status, sexual orientation, religious belief, ethnic origin, nationality, national origin or disability. We are committed to developing positive policies to promote equal opportunities in employment and prohibiting unlawful or unfair discrimination in the workplace. At the induction training you will be required to complete our Equal Opportunities monitoring form, but please complete the relevant boxes below:

Gender
Do you have a disability?

Criminal Convictions

Due to working with vulnerable adults, your role may be subject to Criminal Records Bureau checks. A conviction does not necessarily mean you will not be considered. Each case is considered on its merits. This role is exempt from the Rehabilitation of offenders Act 1974, so applicants are not entitled to withhold any criminal information including those considered spent.

Have you ever been convicted of a criminal offence, or received a caution, reprimand, or warning?
Declaration*
  • Make a referral
Complete our referral form online, submitting information direct to our team.
  • Get in touch
Call our confidential advice line on 0191 514 1131.

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