Sandwell Visually Impaired Volunteer Application Form Please enable JavaScript in your browser to complete this form.Name *Your title *Your address and postcode *Date of birth *Contact number *EmailAre you a visually impaired or disabled person? *Do you have any access requirements that you feel we should be aware of at this stage? *Why would you like to volunteer with SVI? *What type of volunteering with SVI are you particularly interested in? *What relevant experience do you have? *Qualifications and training *Reference 1 *Please give details of two people whom we may contact for a reference. References should be provided by people whom you have been in contact with over the last two years. Preferably they should be people who have known you in a professional capacity (for example an employer, course tutor, volunteer co-ordinator) and can comment on your suitability for the position of a volunteer with SVI. Personal references (i.e. from your GP or friends) are not suitable. If you would like further guidance on who to put as a referee, please contact the SVI office.Reference 2 *Please give details of two people whom we may contact for a reference. References should be provided by people whom you have been in contact with over the last two years. Preferably they should be people who have known you in a professional capacity (for example an employer, course tutor, volunteer co-ordinator) and can comment on your suitability for the position of a volunteer with SVI. Personal references (i.e. from your GP or friends) are not suitable. If you would like further guidance on who to put as a referee, please contact the SVI office.Some voluntary positions within SVI require a DBS check (formerly CRB). In the meantime, we would be grateful if you could answer the following questions (disclosure of a criminal record will not automatically exclude you from volunteering.) Do you have any criminal convictions, bind-overs, orders or cautions? *YesNoIf yes, please give details. *Declaration *By submitting this form, I confirm that the information I have given is correct and complete to the best of my knowledge and that any misleading or untruthful statement made could result in me being disqualified from volunteering.Confirm your name *Confirm today's date Submit
