Apply to Volunteer Contact DetailsName(Required) First Last Phone(Required)Email(Required) Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Tenure(Required) Private tenant Housing Association Tenant Owner occupier Shared ownership Living with parents Living in a hostel Other Role/s you are applying for:(Required) Helping to unpack, sort & label stock Helping in shop during opening hours, Administration duties Mentoring to assist users through the Citizens Advice Service Delivering Food to those who cannot get into the Pantry Driving our Van to collect and deliver food To collect end-of-day surplus foods Helping in our Food Pantry area Helping to keep shelves stocked Working in our Kitchen or Café Helping with Cookery hands in classes for adults, and in the school holidays for children Serving in our Café area Helping people complete forms for benefits and statutory agencies when needed Working with parents and young children in our Soft Play area Minding a child or children in our Hub whilst a parent talks to our Citizen’s Advisor or another form of help for a short while Helping with Budget Coaching Helping people navigate the online world with some digital inclusion assistance Helping to keep our areas tidy and clean Helping with our Breakfast Corner for children on their way to School Helping in our Homework drop-in area for youngsters after school Helping assist in the delivery of new service areas with training provided I can collect from Gillingham Blandford Shaftesbury Sherborne Templecombe When are you available to volunteer on a regular basis?(Required) Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Saturday AM Saturday PM How many hours would you ideally like to commit per week?(Required)How long can you commit to a role? Please tick 0-3 Months 3-6 months 6-12 months Over 12 months Referee(They will not be contacted unless you give permission)Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneHow do you know this person? Please tell us about any skills, previous experiences and interests you have that will be useful in the volunteer role. For example: previous work or voluntary experiences, IT skills, communication skills, languages you speak, your hobbies and interests.Please tell us about any skills or interests that you would like to develop as part of volunteering.Please tell us about any future career plans / goals.Please tell us about why you want to volunteer with the Pantry.Please answer the questions below if you are volunteering for a role that involves driving. Do you drive? Do you have use of a car? Have you any endorsements or accidents in the last 5 years? Have you been disqualified from driving? Do you suffer from any physical or mental health needs notifiable to DVLA? Do you require any assistance or special arrangements to attend an interview or to enable you to volunteer? Please give detailsHave you been convicted of a criminal offence (as defined by the Rehabilitation of Offenders Act 1974)? No Yes Full Details of the requirement to disclose criminal convictions can be found at: www.legislation.gov.uk/ukpga/1974/53 Monitoring InformationWe aim to treat all Volunteers equally, regardless of race, colour, ethnic or national origin, religion, sexuality or disability. To check we are doing this and to check where there may be gaps in our service, please will you give us the following information. Your answer will be treated in the strictest confidence.Ethnic origin White Asian Black Chinese Mixed Prefer not to say Other Age group 16-24 24-44 45-59 60-64 65-74 75 and over Prefer not to say Gender Male Female Trans-Male Trans-Female Prefer not to say Religion Christian Buddhist Hindu Jewish Muslim Sikh Other (Please state) No religion Prefer not to say Sexuality Heterosexual Lesbian Gay Bisexual Other (Please specify) Prefer not to say Disability No Yes Do you or anyone else in your household consider yourself to have a disability? (A physical or mental impairment, which has a substantial and long-term effect on your ability to carry out normal day to day activities)How did you hear about us?(Required) Facebook/Twitter Volunteer Centre Job Centre Leaflet/Poster Website Newspaper Word of Mouth Other (please specify) DeclarationI confirm that the information given on this form is accurate to the best of my knowledgeput a signature field here ugin the add on
