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Volunteer Application Form
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Volunteer Application Form
Volunteer Application Form
We use the information you provide here to contact you about your volunteering role. You can complete this form over the phone by calling 01799 523700 If you would like more information about volunteering for the Support 4 Sight please contact us
Title
*
Mr
Mrs
Miss
Master
Other
Name
*
First
Last
Date of Birth
Day
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1925
1924
1923
1922
1921
1920
Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
County
Postcode
Which roles are you interested in? (tick all that apply)
*
Resource Centre
Admin
Home Visit
Hospital Eye Clinic
Driver
Coffee Mornings
Trips
Newsletters
Befriending Calls
Befriending Visits
Talks
Exhibitions
Street Collections
Uttlesford Talking News
Fundraising Events
Static Tins
Carers Group
IT Support
Do you have a sight loss condition?
*
Yes
No
Why would you like to Volunteer with Support 4 Sight?
*
Skills, qualities and experience
*
Please tell us things about you that will help fulfil this role
Rehabilitation of Offenders Act 1974
Your role may bring you into contact with vulnerable people and is therefore subject to a Disclosure & Barring Service check. Should you have any convictions, these will need to be declared. Please ask for a disclosure sheet.
Do you have any unspent convictions?
*
Yes
No
Where did you hear about us?
*
Support 4 Sight Publication
Support 4 Sight Website
Letter or email about volunteering
Facebook/Twitter/Social media
From another volunteer
From a friend
From a member of staff
Keeping in touch
In addition, we’d love to keep you informed about our support services, research and events, and suggest ways you might help by donating, taking part in fundraising activities, volunteering or adding your voice to public campaigns.
Please tell us how you would like to hear from us, by choosing every box that applies to you
*
Post
Email
Phone
Can we send you emails with newsletters and information?
*
Yes
No
Are you a Driver?
*
Yes
No
Volunteer References
Please provide the names of two people we can contact for character references. These may be friends but not family members.
Title
*
Mr
Mrs
Miss
Master
Other
Name
*
First
Last
Address
Street Address
Address Line 2
City
County / State / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Email
Title of Referee 2
*
Mr
Mrs
Miss
Master
Other
Name
*
First
Last
Address
Street Address
Address Line 2
City
County / State / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Email
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Danny’s Story
Donating to Support 4 Sight
Equipment Video’s
Home
Laura’s Story
Not Just Travel
Zsuzsanna Hybel
About Us
Key Documents
Meet the Team
Alex Innes
Cheryl Sugarman
Connie Pomphrett
Gary Hyams
Graham Hawkes
Michael Lovell
Sue King
Zsuzsanna Hybel
Meet the Trustee’s
Our Stories
A day in the life of a Community support worker
My Glaucoma Story
How We Can Help You
Coffee Mornings & Social Outings
Disability Awareness Training
Emotional Support
Exhibitions & Focus Days
Eye Conditions
Common causes and symptoms
Different levels of sight loss
Registered as Blind or Partially Sighted
Eye Health
Home Visits
Hospital Desks
Resource Centres
Chelmsford Centre
Saffron Walden Resource Centre
Support 4 Carers
Support 4 Employment
Talks & Presentations
Training
Uttlesford Talking News
How You Can Help Us
Amazon Smile
Fundraising
Corporate Fundraising
Give as you Live
Legacies
Membership Form
Recycling
Volunteer Application Form
Volunteering
News
Contact Us
Useful Links
Cookie Policy
Privacy Policy
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