Volunteer Application Form
    IPOP, St Joseph's Pastoral Centre, St Joseph's Grove, Hendon, London, NW4 4TY

    Name*

    Address

    Street Address

    Street Address Line 2

    City

    County

    Postal / Zip Code

    Country
    Do you have any previous experience of people with a learning disability?
    When are you available?
    Referee 1 address

    Street Address

    Street Address Line 2

    City

    County

    Postal / Zip Code

    County
    Referee 2 address

    Street Address

    Street Address Line 2

    City

    County

    Postal / Zip Code

    Country

    I understand that any position offered to me is subject to two satisfactory references, an enhanced Disclosure and Barring Service (DBS) check and Criminal Offences Declaration. I understand that as this position involves substantial access to children and young people the post is considered exempt under the provisions of The Rehabilitation of Offenders Act 1974. I understand that I must inform IPOP of ANY and ALL offences, convictions, bindovers or of any pending court cases I may have.I certify that, to the best of my knowledge, the information provided on this form is true and accurate. I understand that if any of the information I have supplied on this or any other document is false or misleading it may result in any employment being terminated. I understand that the information provided on this form may be entered onto a computerised system. I give explicit consent that the information provided by me on this form may be processed in accordance with the Data Protection Act 1998 and authorize the disclosure of personal data when references are taken up. My personal details will not be released to third parties without my consent.