New volunteers | Revitalise

Step 1 of 5 – Your details

1. Your name

Title

Forename(s)(Required)

Surname(Required)

Name you prefer to be known by

Preferred pronouns

We are proud to be a truly inclusive organisation. We celebrate and welcome all gender identities. If you’d like to share your pronouns, please write them in the box below.

2. Your contact details

Address line 1(Required)

Address line 2(Required)

City(Required)

Region

Postcode(Required)

Country(Required)

*If your country of residence does not appear in this list but you would like to volunteer, please email volunteer@revitalise.org.uk or call (+44) 0303 303 0145.

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Email(Required)

Enter Email Confirm Email

If you are at university, if possible please provide us with a personal email address so we are able to contact you throughout the year.

Daytime telephone number (including dialling code)

Mobile number

3. About you

Nationality

Date of birth(Required)

Are you under 18 years of age? (Unfortunately we are unable to accept volunteers from abroad under the age of 18)(Required)

Parent or guardian's details(Required)

I confirm that I have the permission of the above parent/guardian to volunteer with Revitalise.

Please can you tell us which statement best describes your current status?

Other

7. References

We require two references from our volunteers before they can start and you will need to provide both referee details at this stage in order to complete your booking. Your referees must have known you for a minimum of 12 months and cannot be a family member or friend. Only one reference from your teacher or tutor is permitted. Please note: if you wish to make a booking we do need referee details now.

Name of first referee(Required)

First Last

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Phone

Email(Required)

Relationship to you(Required)

Name of second referee(Required)

First Last

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Phone

Email(Required)

Relationship to you(Required)

Enquiring as a New Volunteer

Booking your first volunteer placement with Revitalise

New Volunteers Booking Form

1. Your name

2. Your contact details

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3. About you

4. Please tick the role/s that you are interested in

5. RESIDENTIAL VOLUNTEERS ONLY If you are applying for a different volunteer opportunity, please skip to section 6.

6. Special requirements

7. References

8. Emergency Contact

9. Further details

10. How did you hear about us?

11. Data protection

Any information disclosed will not necessarily prevent you from volunteering and all information will be treated in strict confidence.

Further background checks may be required by Revitalise where relevant. To the best of my knowledge, the information provided on this form is correct.

Revitalise and Equal Opportunities