Full application form - Ichthus Christian Fellowship

Revive Volunteer Full Application Form 2015
Each applicant should complete and submit an application form. We cannot
process forms unless all sections are complete and a photo is attached. This
information is confidential to the Revive team. If you volunteered at Revive 2013 or
Revive 2014 you can fill out a ‘Returning volunteer’ form.
Please do not submit
your application without
Personal Details
Title:
a photograph
Name:
Surname:
………..
Address
………..
………..
Postcode
Telephone:
Gender:
Attach photo here
email one to
revive@ichthus.org.uk
…….
Mobile:
Date of birth:
Alternatively you can
……………………………………
Email Address:
…………
Dependants on site with you:
..…...
……..
Please give names and dates of births
Please tell us about your Christian experience. How long have you been a Christian?
…..
….
….
…
….
…
……..
……...…………….
Which church do you attend and from when (approximate month and year)? Which activities have you undertaken
in the church?……………………………………………………………………………………………….…………………….
……………………………………………………………………………………………………………………...………………
……………………………………………………………………………………………………………………….....................
Team (See volunteer information leaflet for more details)
Teams for which you want to apply:
First choice:
Second choice
Have you volunteered at Revive before?
……………………………………….
Please give team(s) and year(s)
Please give a brief description of your qualifications for, and/or experience in the area(s) of work that you are
applying for (This can include experience of volunteering at Revive.) Please also include other skills or
qualifications that may be of use in other areas.
…………………………………………..
…………………………………………..
If you are applying for a role volunteering with children or young people, and are currently working in a childcare
position in either voluntary or paid capacity, please describe your role. Someone from that organization should
provide your personal reference so please include their details so we can contact them (organization and post).
Church leader reference
Name:
Email:
Phone:
Email:
Phone:
Personal reference
Name:
This can be your previous Revive team leader
Important Confidential Information
Do you have any physical disabilities or weaknesses that we should make provision for?
Do you have any medical conditions (including HIV positive, Hepatitis B) of which we should be made aware?
Have you ever experienced any nervous, mental or emotional health problems?
Do you have any police enquiries or case of prosecution pending? Have you been charged with any criminal
offence? If yes, please tick
If you have ticked, a senior leader in Ichthus will contact you in strict confidence to discuss this.
Under the Rehabilitation of Offenders Act 1974, you are not required to disclose any conviction that has become
spent, unless you intend to work with children.
Have you ever had an offer to work with children, young adults or vulnerable adults declined? If yes, please tick
If you have ticked, a senior leader in Ichthus will contact you in strict confidence to discuss this.
Volunteer Meals
For volunteers and immediate family (i.e. husband, wife or children) only. The first adult will receive a subsidised
rate of £100, and teenagers (13-17) will receive a subsidised rate of £100. Otherwise the cost of adult food for the
full week is £120. This includes a sit-down breakfast and dinner. Lunch will be provided in the food court.
Volunteers: …. Family (adults, 18+):
£0 each
Family (13-17)…….. Family (5–12yrs):
£120 each
£100 each
Total requiring volunteers meals:
Family (0-4yrs):
£50 each
….
Free
Total volunteers meal cost:
(If unsure leave blank and we will do the calculation for you)
Declaration
‘I wish to apply to volunteer at Revive 2015 and confirm that I have read and fully understand the duties of the team I have applied for. I hereby
declare that the information I have given is to the best of my knowledge current, true and accurate, and that I am fit and able to fulfill the duties
for the team for which I am applying. I am happy for Ichthus Christian Fellowship to obtain references from the people I have named above. I
declare that I have no criminal convictions that would affect my suitability to work with children. I give Ichthus permission to request a DBS
check.’ Ichthus will request a DBS Enhanced Disclosure for all volunteers applying to work with children, or young adults.
As a trust, we undertake to meet the requirements of the Data Protection Act 1998, the Protection of Children Act 1999, the Criminal Justice and
Court Services Act 2000 and all other relevant legislation.
Signed:
Date:
! Your details are stored on a database for administration purposes. We may send you
information, by email or other means, of other activities organised by Ichthus Christian
Fellowship. Tick here if you do not wish to receive this information.
Return to:
Revive Volunteers
Ichthus Christian Fellowship
7 Greenwich Quay
Clarence Road
LONDON
SE8 3EY