Last updated:
3 January 2018

Independent visitor application

  • This form may take approximately 45 minutes to complete.
  • Please allow yourself enough time to complete this form in one session as there is not an option to save and come back to it later.
  • The questions marked with an asterisk (*) are mandatory and require an answer. You do not have to answer all of the other questions, but it would help us if you do.
  • You might wish to read through the form first to make sure you have the required information available. For example, you will need to be able to provide details for references and an emergency contact, and give details of your qualifications and work experience.

Your name

Enter your first name.
Enter your last name.
Enter any previous last names you have had, such as your maiden name.
Enter your date of birth using numbers following the format dd/mm/yyyy, for example 01/12/1980.

Your address

Enter your address name or number. This could a flat, house or building name or number.
Enter the first line of your address. This could be the street name.
Enter the second line of your address if you need to. This could be the village name.
Enter the town or city of your postal address.
Enter your postcode, with or without spaces.
Select 'Yes' if you have lived at the above address for seven years or more.


Your contact details

Enter an email address where we can write to you.
Enter a daytime phone number that we can ring you on. This can be a mobile or land line number.

Your qualifications, experience and reasons for applying

Briefly list any qualifications or courses you have taken including dates of completion. For example, A-Levels and university degrees, or training such as a first-aid certificate.
Briefly outline all your work experience, paid or voluntary, including details of the role, start and finish dates and the employer or organisation's name and address . This could include your current and former paid employments and any voluntary work you have done.
Briefly explain what has attracted you to apply, giving details of any relevant experience you have.
Briefly outline some information about yourself, such as your interests and hobbies.

Your availability and travel information

We need to be sure you can commit to this volunteering role for a minimum of two years and give the time required, including volunteering at weekends. See the role description (opens in new window) for more information.

Select 'Yes' if you are able to commit for at least two years and give the time required, including volunteering at weekends.


Tell us the area within which you are prepared to travel (expenses will be paid). For example, Chichester district, south of county or whole of West Sussex.
Select 'Yes' if you have your own transport.


Select 'Yes' if you have a current, clean driving licence. We will ask for proof before you start volunteering.


Your references

Please provide the name and contact details of your current employer, plus two people (unrelated to you) whom you have known for five years in a personal, academic, work or voluntary capacity who have agreed to provide a reference for you.

Employer reference

Enter the name of your employer.
Enter in months and years how long your employer has known you for.
Enter a daytime phone number that we can ring your employer on. This can be a mobile or land line number.
Enter an email address where we can write to your employer.

Personal referees

Enter your referee's first name.
Enter your referee's last name.
Enter in months and years how long your referee has known you for.
Enter a daytime phone number that we can ring your referee on. This can be a mobile or land line number.
Enter an email address where we can write to your referee.
Enter your second referee's first name.
Enter your second referee's last name.
Enter in months and years how long your second referee has known you for.
Enter a daytime phone number that we can ring your referee on. This can be a mobile or land line number.
Enter an email address where we can write to your referee.

Your emergency contact

Provide the name and contact details of someone who can be contacted in the event of an emergency.

Enter your emergency contact's first name.
Enter your emergency contact's last name.
Enter a daytime phone number that we can ring your emergency contact on. This can be a mobile or land line number.
Enter another phone number we can reach your emergency contact on. This can be a mobile or land line number.

Criminal records check

Owing to the nature of its activities, this role is exempt from the provisions of the Rehabilitation of Offenders Act 1974 and its associated Order. This means applicants need to disclose details of any warnings, reprimands, cautions and convictions which would not be removed as part of the police filtering process when carrying out a Disclosure and Barring Service (DBS) check. See GOV.UK for guidance on this ‘filtering’ process (opens in a new window).

You will have the opportunity to discuss these details during your interview. You will also be subject to an enhanced Disclosure Barring Service (DBS) check (which has replaced CRBs) before you can proceed as a volunteer.

Criminal records will only be taken into account when the conviction is relevant; having a conviction will not necessarily bar you from volunteering.

Because of the need to protect children who are looked after by West Sussex County Council Children’s Services, in addition to the conditions stated above it is necessary to enquire about the following.

Select 'Yes' if any of the above statements apply to you.


Declarations

This volunteer role is subject to an enhanced disclosure check via the DBS and you will be asked to complete an online DBS form before you start and every three years (whilst you continue to volunteer). The information will only be used in connection with your application as a volunteer, or for your continued role as a volunteer Independent Visitor.

Select the box below to show you agree.
Select the box below to confirm you are over 21
Select the box below to show you agree.
Select the box below to show you agree.
By entering your full name below you declare that you have completed this application to the best of your ability and believe the information provided is accurate and correct.

Submitting your form

Click the submit button only once.

Please be patient as it will take a few moments to process your form and redirect you to our confirmation page.

 

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