• Current Volunteer Details
  • Complete
Indicates required field

The information given on this form will be stored confidentially and in line with Data Protection requirements.

Name
Title
Address
Do you have any access needs or requirements that we should know about if you’re invited for interview?
For how long are you able to offer your time to the Organisation?
Where did you hear about us?

References

Please give details of two people we could contact for references. These should not be family members and should be people that you have known for at least 6 months. Ideally, these would both be from people residing in the UK. 

Healthwatch Islington operates a safe recruitment policy because our work may bring us into contact with vulnerable people.

Reference 1

Full name of referee
Address

Reference 2

Full name of referee
Address

Declaration

Have you ever been convicted of a criminal offence?
Do you have a court appearance pending or have you been charged for a criminal offence?

Equal Opportunities Monitoring Form

This information will not be used in the recruitment process but will be monitored to help inform us about whether we are reaching a diverse audience. The completion of this form is optional. Your responses are confidential and will be anonymised.

Age group
Gender
Do you consider yourself to have a disability?
Ethnic origin