Mentor Application Form - MACS Supporting Children & Young People

Apply to become a volunteer mentor at MACS. Please read the Volunteer Role Descriptionbefore completing this form.

You cannot save this form, so it’s a good idea to prepare your answers in Microsoft Word or similar then copying and pasting your answers below.

You will also have to fill in a short Equality Monitoring Form on completion of Step 1.

Step 1
Name*
Title First Last
Previous Surname/s
Address*
Street Address Address Line 2 City Postcode
Phone*
Email*
How did you hear about this volunteering opportunity?*
Please say where you heard about this opportunity
Driving
Do you hold a full current driving licence?*
- Yes
- No
Do you have access to a car?*
- Yes
- No
Please outline any relevant SKILLS that may help you in this role*
Please demonstrate how you meet the PERSONAL QUALITIES section of the Volunteer Role Description*
Please outline how you meet the VALUES section of the Volunteer Role Description*
References
Please supply two character referees (not relatives) who have known you for 2 years or more. It is important that you provide an email address for each referee so that we can contact them.
Name of first referee*
First Last
Email of first referee*
Relationship to applicant of first referee*
Name of second referee*
First Last
Email of second referee*
Relationship to applicant of second referee*
Criminal Offences
By virtue of the Rehabilitation of Offenders (execeptions) Order (NI) 1979 and because of the nature of the position for which you are applying, this position is exempt from the provisions of Article 5 of the Rehabilitations of Offenders (NI) Order 1978. Accordingly you are not entitled to withhold information about convictions, which would otherwise be considered as 'spent' under the provisions of the 1978 Order. Failure to disclose such information could result in you being asked to leave your voluntary position.
Have you been convicted of any criminal offences (please tick):*
- Yes
- No
If 'Yes' please give details below:
It should be noted that convictions for certain offences do not necessarily debar an applicant from obtaining employment. Please note that any offer of employment is subject to a satisfactory Access NI check. For a copy of our AccessNI Policy Statement, the Recruitment of Ex-offenders Policy and the AccessNI Code of Practice, please refer to our website.
Declaration*
- I agree to the statement below.
By ticking this box, I declare that all the foregoing statements are true and complete to the best of my knowledge and belief. I understand that knowingly giving false information or suppressing any material fact will result in me being unable to volunteer with MACS.
Name
This field is for validation purposes and should be left unchanged.

Privacy Statement

The information which you give when completing your application form will be used in accordance with the Data Protection Act 1998 and for the following purposes: to enable the organisation to create an electronic and paper record of your application; to enable the application to be processed; to enable the organisation to compile statistics, or to assist other organisations to do so, provided that no statistical information that would identify you as an individual will be published. The information will be kept securely, and will be kept no longer than necessary.

Step 1

Driving

References

Criminal Offences