Volunteer Application Form

Welcome to the Kids Company Volunteering department. Thank you for applying to volunteer with us and for giving your time generously to support vulnerable children. If you would like this document in large print, audio, Braille, alternative format or in a different language, please ask.
Instructions: Please fill in all sections Please write/type in black ink so the form can be photocopied Put your name at the top of any additional sheets you use Sign and date the declaration at the back of this form (or type name if completing electronically)

The information that you provide on this form will be handled and stored in accordance with current Data Protection legislation.

_______________________________________________
POSITION: Please indicate which volunteer role you are applying for:

Surname: Paul

Forename: Dominica used other names? If so please state

Mr/Mrs/Miss/Ms/Other: Miss what they were:

Have

you

D.O.B: 19/11/1989

Occupation: Assistant Organisation Company

at

Charity

Events

E-mail address: dominicarpaul@hotmail.com Tel (mobile): 07920030405 Tel (work): Tel (home):

Address: 118 Omega Works, 4 Roach road, London, E3 2PF

Nationality: British

Languages Spoken: English

Have you previously worked or volunteered with us? If yes, please specify details: No

How/where did you hear about this volunteer role? Online

Next of kin name and relation to you: Claire Paul, Mother

Next of kin contact telephone number: 07967622713

EDUCATION / QUALIFICATIONS

Name of Institution

Qualification i.e. O Level / GCSE / A Level / Degree

Date

Result

The

University

of

BA English Literature

2012

2: 1

Manchester A, A, B

Bedales School

A level: English, History, Theatre Studies

2008

Bedales School

GCSE

2006

4 A*, 5 A, 1 B

Leiths

Foundation Course

Cookery

2008

Merit

Please use a continuation sheet if necessary.

MEMBERSHIPS/ REGISTRATION WITH PROFESSIONAL BODIES

Name of professional body

Level/Type of membership

Reg. Number

Renewal Date

EMPLOYMENT HISTORY (Please include any previous placements or work experience)

Dates (month/ year) From 2008

Name Employer Sarah Dunn

of

Position held

Duties

Reason for leaving

Professional Nanny

Having sole care of a young child

University

To

2009 March The White Hart Inn

Sous-Chef Assisting kitchen, meals in the preparing Holiday Job

From 2011

To May 2011 From May FIMLC lmt.

Researcher Doing online research, compiling reports Temporary freelance work

To 2012 From 2012

July Sep
Harriet Paul Assistant Charity Events Organiser Asssisting in organization of events Ongoing

To

Current

Please use a continuation sheet if necessary. Please give reasons for any gaps in employment:

University

PERSONAL STATEMENT
Briefly tell us a little more about yourself and why you have chosen to volunteer at this time:

I am a warm, friendly, enthusiastic person with a strong academic background. I love working with children, something I discovered whilst being a nanny. This has inspired me to become a primary school teacher and I am currently applying to study my PGCE next year. I would love the chance to volunteer and help in any way for this fantastic charity. I love cooking and hold a foundation certificate in cookery, skills which I would enjoy passing on. My other passions include drama; I studied theatre studies to A-level and was involved in several directing projects, and especially reading. I discovered a love of reading at a young age and I am passionate about helping children to have the same positive experience. I am keen to find any way in which I could be of help, from afterschool clubs to helping children in the classroom.

Creative Arts Cooking Arts and Crafts Drama Dance Languages (pls specify)

Singing Knitting/ Stitching Academic Support: English Math

Running Other Sports Football Gardening Film Club

In-Class Support Other

Potential weekly availability to volunteer (this is not binding at this stage) Day(s): Weekday Evenings, Weekends daytime Hours:

VOLUNTEER POOL
We offer ad hoc volunteering opportunities with many different sort of activities that require volunteer support. There is no commitment to participate in any activity unless its suitable to your schedule or interest. We send regular emails every three weeks, providing a list of opportunities.

Please tick this box if you would like your name added to our volunteer pool. You can request to be removed from the volunteer pool at anytime

REFERENCES
Please give details of two professional or academic referees. We cannot accept referees who are personal friends or family members. You must have known the referee for a minimum of two years. Name: Position: E-mail address: Telephone: I am using school rather than university for an academic reference as my university tutors changed every year and therefore do not qualify for the time terms specified. Name: Position: E-mail address: Telephone: Sara.dunn@mac.com Sara Dunn Mother of the child I was a nanny for. Rupert Crisswell English Teacher rupertcrisswell@yahoo.co.uk

DISCLOSURE OF CRIMINAL CONVICTIONS REHABILITATION OF OFFENDERS ACT 1974

The appointment of any volunteer who may have contact with or access to children or vulnerable adults will be subject to the receipt of a satisfactory disclosure from the Criminal Records Bureau. The presence of a criminal record will not necessarily prevent involvement with Kids Company. Please make the following declaration and mark the appropriate box. I have nothing to declare I have information to declare and I have submitted details

DECLARATION
I understand that any offer of a volunteer position will be subject to the information on this application form being complete and correct. I authorise Kids Company to make any appropriate checks that may be necessary in relation to the role I have applied for. False information, or a failure to supply the details required in this application form, could make an offer of a volunteer position invalid or lead to termination of the volunteer position.

I agree that during the course of my volunteering with Kids Company, and at all times thereafter, I will keep confidential any information, however obtained, concerning the business, trade secrets, personnel, supporters or beneficiaries of Kids Company or of any of its subsidiary or associated companies, and I will not disclose any such information to any other party without Kids Companys

prior written consent. Furthermore, I agree that I will not use any such information for my own purposes or for the purposes of any third party.

Upon termination of my volunteering (for whatever reason) I agree that I will surrender to Kids Company all documents, copy documents, notes and other memoranda in my possession relating to Kids Company, its supporters or any other associated individual, organisation or company. I agree to abide by Kids Companys Whistle Blowing Policy and Child Protection Policy.

I agree that personal data relating to me, which has been or is obtained by Kids Company, including personal data given by me on this form, may be held and processed either on computer or in manual records. It may be disclosed to authorised employees of Kids Company, and used by Kids Company for any purpose relating to my application.

By submitting this application form, I give my permission to the storage and processing of sensitive personal information by Kids Company.

Signed Dominica Paul

Dated 27/09/2012

If you are completing this form electronically, please type your name to indicate signature.