Schools Out Club - Volunteers Application Form

Applicant Details

Full Name:
*

Any former names:

Current Address:
*

Postcode:
*

Contact Details

Email Address: (so we can send newsletters about holidays and any special activities)
*

Work Number:

Mobile Number:

Alternative Number:

Job specific information

Preferred Hours
We are open from 7.00-9.00am for breakfast club and 2.30pm-6.00pm for after school club. On Holidays and Inset days we are open 7am - 6pm. You can therefore choose any of these times to volunteer.

Breakfast Club      After School Club       Holiday Club

Mon AM     Tues AM     Wed AM     Thurs AM     Fri AM

Mon PM     Tues PM     Wed PM     Thurs PM     Fri PM

Previous Experience/Courses Attended:

Qualifications:

Your requirements:

Areas of interest: Any Hobbies, interests or talents that you have that you could use to help you & share with the children.

Referees / History

Please give two people who we can contact for a professional and character reference. One should be your current or most recent employer. N.B. By entering the names below you are giving us your consent to contact them for character references.

Name: Address: Postcode: Telephone: --------- Name: Address: Postcode: Telephone:

In line with new Safe Guarding Children regulations we are required to ask the following questions to all new applicants.

Do you as the applicant have any convictions or cautions for criminal offences or have you ever been ‘bound over’ by a court?     Yes        No

Please state in full details of any disciplinary action that has been taken against you.

Please state in full details of any allegations that have been made about your suitability to work with children.

Dietary, allergies, medical conditions & Emergencies

In case of an emergency please inform us of your next of kin:
Name: Address: Telephone: --------- Relationship to you:
Are you on any medication if so what and will it effect your professional capabilities to work with children ?

Will you bring any medication to the setting with you? (If so please make sure that they are kept in an area where children aren’t allowed i.e the kitchen)

Is there anything else you would like to disclose?

References

In order for us to allow you to come into our setting and volunteer we need two references to complete your volunteer safety checks.
Reference 1 ---------- Name: Address: Postcode: Telephone: --------- Reference 2 ---------- Name: Address: Postcode: Telephone:

Additional Needs

If you have any additional needs that you would like to inform us of in order for us to help your professional working atmosphere to be made easier for you. i.e dyslexia or autism or any dietary need that we need to be aware of in case of emergencies.