Independent parental or young person supporter form

  • This form will 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 provide details of references, give details of your skills and work experiences and any unspent criminal convictions.

Your details

Enter your first name.
Enter your surname.
Enter any middle names separated by commas.
Enter your address name or number. This could be your flat, house or building name or number.
Enter the first line of your address. This could be your street name.
Enter the second line of your address if you need to. This could be your village name.
Enter the town or city of your postal address.
Enter your postcode, with or without spaces.
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.
Enter another phone number we can reach you on. This can be a mobile or land line number.

Volunteering role and reasons for applying

Tell us why you are applying, what attracted you to the role and what you hope to gain from the experience.

Skills and qualities

Tell us about your relevant skills and experiences, including any paid work, unpaid work and relevant personal experience. Please refer to the role description and give examples of when you have demonstrated these skills and qualities.

Provide examples of your reliability, trustworthiness, honesty and integrity.
Provide examples of your listening and communication skills within any setting.
Provide details of any knowledge of the SEND system and your willingness to learn.
Let us know how you empathise with a parent or young person who has, or who has a child with, additional needs.
Have you been in a situation where you have had to demonstrate impartiality?
Let us know what times and days you are able to devote as a Supporter. You will not be expected to continually work these, but indicate when we may be able to call upon you.
Let us know if there is any training you think you may need. Induction training will be provided, as well as ongoing training as needed.

References

Provide two references who will be able to comment on your suitability for this role. They should not be related to you, but you should have known them for at least three years in a personal, academic, work or voluntary capacity. One of these should be in a professional capacity, for example, academic or employment.

Reference 1

Enter your referee's first name.
Enter your referee's surname
Enter the address name or number. This could be a flat, house or building name or number.
Enter the first line of the address. This could be the street name.
Enter the second line of the address if you need to. This could be the village name.
Enter the town or city of the postal address.
Enter the postcode, with or without spaces.
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.
Let us know how long you have known this person and how it is you know them.

Reference 2

Enter your referee's first name.
Enter your referee's surname
Enter the address name or number. This could be a flat, house or building name or number.
Enter the first line of the address. This could be the street name.
Enter the second line of the address if you need to. This could be the village name.
Enter the town or city of the postal address.
Enter the postcode, with or without spaces.
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.
Let us know how long you have known this person and how it is you know them.

Medical history

Provide details of your medical history.


Select 'Yes' if you have a current full driving licence


Select 'Yes' if you own a car.


Rehabilitation of Offenders Act 1974

Because of the nature of the work involved, this post is exempt from the provisions of the Rehabilitation of Offenders Act 1974 and associated orders. Applicants are not, therefore, entitled to withhold details of any criminal offence, which for other purposes may be considered ‘spent’ under the Act.

If yes, give details of any convictions, both spent and unspent.


Equal opportunities

Enter your date of birth using numbers following the format dd/mm/yyyy, for example 01/12/2005.

Disabilities

Tell us about any assistance you need to help you with your application or to help you carry out this role.
Provide details of any disability you currently have, or have had in the past.







Personal details

Ethnicity

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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