Your Details

Full name*

Address including postcode (optional)

Your email*

Your phone number*

Any additional needs that we may need to know about? And information on how we can support you.

Emergency Contact Details

Emergency Contact Full name*

Emergency Contact Address including postcode

Emergency Contact email*

Emergency Contact phone number*

Your Volunteering Details

Projects which interest you (please tick)
Soft PlayFamily Fun DaysHydrotherapyAdminOther (Please give details below)

If you selected other, please give details here:

Your skills and reasons for applying with Little Hiccups

Experience as a volunteer

Work Experience

Courses or Training (if relevant)

Hobbies and Interests

Where did you hear about volunteering for Little Hiccups?

Why would you like to be a volunteer with Little Hiccups?

References

Please give two independent referees who would be willing to supply a character reference (these must not be family members)

Reference 1

Reference 1 name*

Reference 1 Address including postcode

Reference 1 email*

Reference 1 phone number*

Reference 1 Occupation*

In what capacity do you know this person:*

Reference 2

Reference 2 name*

Reference 2 Address including postcode

Reference 2 email*

Reference 2 phone number*

Reference 2 Occupation*

In what capacity do you know this person:*

Please note that we do normally need two satisfactory references before you can start as a volunteer and we cannot always guarantee a suitable role. Some volunteering jobs will be subject to a satisfactory DBS police check.

CONFIDENTIAL INFO

Recruitment of Ex-Offenders – Many Little Hiccups’ volunteering opportunities will involve direct contact with potentially vulnerable young people. As such, applications to volunteer are exempt from the Rehabilitation of Offenders Act 1974.

This means that potential volunteers are required to declare their entire criminal record, including cautions, reprimands, final warnings and criminal convictions categorised s `spend’ under the above legislation.

The information provided will be kept confidential.

It will only be disclosed to the specific Little Hiccups Committee if/when they are considering you for specific volunteering opportunities (where you may come into contact with potentially vulnerable children).

Have you ever been convicted at a Court or Cautioned by the Police for any offence?*

YesNo

If Yes, please give details, including date(s) and nature of offence(s).

Sex, Ethnic and Disability Monitoring

You are invited to tick the relevant boxes below to enable Little Hiccups to monitor its Equal Opportunity policy. Monitoring is recommended by the codes of practice for the elimination of racial discrimination and for the elimination of discrimination on the grounds of sex, marital status and disability. This information is used for no other purpose and will be treated as confidential.

Sex
MaleFemalePrefer not to sayOther (please specify below)

If Other, please give details below.

Ethnic Group
WhiteBlack-CaribbeanBlack-AfricanBlack – OtherIndianPakistaniBangladeshiChinesePrefer not to sayOther (please specify)

If Other, please give details below.

Are you disabled?
YesNo

Please let us know how we can support you

Volunteer Agreement

Little Hiccups agrees to:

• Provide a volunteer induction and to provide basic training where this is required for the volunteer role.

• Provide opportunities for further training and workshops to enhance skills and knowledge.

• Provide regular support to the volunteers from a named member of staff.

• Provide an opportunity to meet other volunteers where possible.

• Conduct regular reviews with the volunteer.

• Ensure volunteers are adequately insured while carrying out their duties.

• Reimburse the cost of basic travelling expenses and other out-of-pocket expenses as detailed in the Volunteer Policy.

• Provide information about organisational practice and procedures relating to the volunteer’s role.

• Volunteers will have access to Little Hiccups complaints procedure.

• Provide references for volunteers if this is deemed appropriate and after consultation and discussion with staff and volunteers.

• Adhere to our Equal Opportunities Policy when dealing with volunteers.

The Volunteer agrees to:

• Undertake the volunteer induction and complete any training deemed necessary to the volunteer role.

• Participate in regular individual support sessions with their supervisor either face to face, by email or on the phone.

• Attend volunteer support group meetings, where appropriate.

• All areas of confidentiality must be adhered to at all times. At no time whilst volunteering for Little Hiccups and after your volunteering duties stop are you to divulge any family details.

• Observe and adhere to Little Hiccups policies and codes of practice.

• Keep Little Hiccups informed of any changes to your circumstances.

• Provide accurate records of any out of pocket expenses incurred and retain any receipts.

• Provide notice of intention to cease volunteering with Little Hiccups.

• Adhere to our equal opportunities policy.

This agreement sets out Little Hiccups’ commitment to the above volunteer and the expectations we have of our volunteers. By drawing up this agreement there is no intention to create a contract between the above volunteer and Little Hiccups.

By clicking Submit, you are affirming that everything you have completed, is correct to the best of your knowledge.