Photograph in jpg (optional).

Volunteer Application Form

Personal Details Muslim Aid welcomes applications from a wide range of applicants, both men and women, who specialise in different skills and abilities. Please complete this section about yourself and how we can contact you. Last Name Any other name by which known Permanent Address Present Address (if different) Telephone (landline) Primary email Twitter Account (if any) Nationality (if dual national, give both) Work Status: Please tick the applicable box) student; retired; working (fulltime/part-time); looking for work. Telephone (mobile) Secondary email (if any) Face-book Account (if any) First Name(s) Title

Do you have any convictions that are unspent under the rehabilitation of offenders act 1974? No/Yes If yes, please give details / dates of offence(s) and sentence. These do not include traffic offenses

Please tell us who we should contact in the event of an emergency: Name: Address/Telephone/Mobile Relationship to you

Education, Voluntary and Work Experience Please tell us about your previous voluntary or work experience and the highest professional or educational qualifications achieved. Name and address of educational institution 1 2 3 4 Year Diploma or degree obtained

Name and Address of employer/organisation 1 2 3 4

Year

Role/brief description of duties

Please state briefly what your expectations are from Muslim Aid and what you would like to gain from your experience as a volunteer at Muslim Aid

Please indicate the months/days you are most likely to be available and the areas you could help Muslim Aid January; February; March; April; May; June; July, August; September; October; November; December Weekends Weekdays School/Bank Hoilidays Ramadan/Qurbani Office/Admin Ramadan Help Full Day Morning Evening Full Day Morning Evening Full Day Morning Evening Time will be advised mostly between Maghreb and Isha and later. Networking IT Support Social Media Donations Processing Fundraising Events Mosque collections

Equal Opportunities and Monitoring Muslim Aids Equal Opportunities Policy allows all volunteers to use their full potential. The information in this section is used only for the purposes of ensuring compliance with due diligence policies. Muslim Aid welcomes volunteers with a range of abilities and skills they bring. Please give details of any disabilities or health issues we should be aware of in relation to your work with Muslim Aid as a volunteer. Please proceed to next section if not applicable

References Please give the names and addresses of two people who know you well and can provide current information about you. One referee must be your present or most recent employer. If you have not previously worked or have been away from work for some time please give the reference of a teacher, chaplain, Imam, hostel warden or someone you know at Muslim Aid (including a volunteer) who is able to supply a reference for you. Name of referee 1 Address Position Telephone Fax Email Postcode In what capacity do you know the referee

Name of referee 2

Position

Address

Telephone Fax Email

Postcode

In what capacity do you know the referee

Declaration (Please read and mark the box) 1) The information provided in this form is true to my knowledge. 2) I solemnly affirm that if accepted as a volunteer, I will not engage in activities which are prohibited by the law of the United Kingdom relating to the collection and use of funds, or engaging in activities that incite hatred or endanger the welfare, safety or security of the public. 3) I also affirm that irrespective of my faith, I will, in the discharge of my work as a volunteer, adhere to the policies of Muslim Aid and promote its mission, vision and values. Signature of applicant Date

Please attach a photocopy of one of Passport, Birth Certificate or Driving license

In accordance with the Data Protection Act of 1998/2003, the details on this form will be kept securely and confidentially by Muslim Aid and will be accessed by authorised persons only. If candidates do not hear from Muslim Aid within 60 days of submitting the application, they should assume that either their application has been unsuccessful this time or Muslim Aid does not have any vacancies for volunteers at the current time. In such case, candidates are strongly urged to re-apply after a gap of 180 days. Muslim Aid is a UK registered Charity (Reg NO 295224). All correspondence should be sent to Volunteers Department, Muslim Aid,PO BOX 3 London E1 1WP; Tel: 020 7377 4200 | Fax: 020 7377 4201 | Email: volunteer@muslimaid.org

For office use only

Proof of Address checked Parental consent received, if under 16 Two references collected/checked In addition, photocopy taken of one of the below: Passport copy Birth Certificate copy Full driving license copy Observations recorded by the staff member taking the Interview Name of Muslim Aid Staff Vetting the Application Date Signature

October 2011