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Expression ofinterest Form

Thank you for taking your first step to becoming a volunteer for Gateshead Council. By completing this Expression of Interest form we can help match the skills and experience you have with one of the many volunteering opportunities we have on offer. Area's of interest Please indicate a 1st, 2nd and 3rd option to help best match a suitable volunteer opportunity. Countryside and Environment Community Centres Community Safety Community Resilience (Community Wardens) Libraries Cultural activities Digital Volunteers Health and Wellbeing Neighbourhood and Community Activities Support and Leisure Supporting vulnerable people including people with learning disabilities and older people School governors Town Centre e.g student support Young People Other (please specify) Help and advice If you have any questions about this application form or about volunteering, please contact: Kate Marshall, Communities, Neighbourhoods and Volunteering, Gateshead Council by: Phone: 0191 433 3255 volunteering@gateshead.gov.uk Web: www.gateshead.gov.uk/volunteering For wider volunteering opportunities across Gateshead please contact the Volunteer Centre. Phone: 0191 478 4103 enquiries@gvoc.org.uk Web: www.ourgateshead.org/volunteering GVOC (Gateshead Voluntary Organisations Council), John Haswell House, 8-9 Gladstone Terrace, Gateshead NE8 4DY. You can also book an appointment to speak to someone face to face Monday - Friday, 9am - 4.15pm For more volunteering opportunities visit: www.do-it.org.uk 2

About you Please enter your details below Title: Mr Mrs Miss Ms Other (please give details) Name: Telephone (Home): Telephone (Mobile): What is your preferred method of contact? Email Telephone (Home) Telephone (Mobile) Date of Birth: In the case of an emergency contact: Name: Tel No.: Relationship: Please tell us why you would like to volunteer: Please tell us how you found out about volunteering in Gateshead: Gateshead Council website Twitter/Facebook GVOC website Council News Our Gateshead website Other Specific volunteer event (please give details) Newspaper article (please give details) 3

References Please provide the details of two people who can be asked for references regarding your work, studies or voluntary experience and your suitability as a volunteer. One of the references may be a personal friend or relative. 1. Referee s name: 2. Referee s name: Postcode: Telephone: In what capacity does this person know you? Postcode: Telephone: In what capacity does this person know you? Restrictions Are there any restrictions regarding your right to work with children and/or young people? Yes If yes, please give details: No Health and Disability Do you have a disability or medical condition that we should consider when trying to match you up with any volunteering opportunities? Yes No If yes please give details of how this may affect you as a volunteer: Publicity and use of photographs I am happy for Gateshead Council to use my photograph in marketing materials to help promote volunteering There may be some occasions where we need to share your information with our partner organisation GVOC Gateshead Voluntary Organisational Council in order to provide you with a suitable volunteer opportunity. Please indicate that you agree to us sharing your information. 4

Agreement I understand that by signing this agreement I am giving permission to be registered on Gateshead Council s volunteering database. Print name: Sign name: Date: Volunteers aged under 16 Name of parent/ guardian: Signature: Date: Data Protection Act What happens to my personal information? All of your details are held on a secure database and information systems that only restricted staff have access to. We will record your personal data and keep it safe and secure in accordance with the Data Protection Act 1998. We will not share it with other organisations without your knowledge, unless we are required by law to do so. The information provided will be kept on file no longer than the time required under statute. You have the right to see the information that we keep about you. If you wish to see it, please contact Gateshead Council s Information Rights Officer, Corporate Administration, Legal and Corporate Services, Central Services, Civic Centre, Regent Street, Gateshead NE8 1HH or email informationrights@gateshead.gov.uk Please return the completed form to: Kate Marshall Communities, Neighbourhoods and Volunteering Gateshead Council Regent Street Gateshead NE8 1HH or email to: volunteering@gateshead.gov.uk What happens next? Thank you for your interest in becoming a volunteer with Gateshead Council. Once we receive your completed form references will be requested from your nominated referees. Once these are both returned you will be contacted by a relevant volunteer coordinator to discuss any potential volunteer opportunities. Please be aware that references can take a while to be returned. 5