First Name
Last Name
Email
Address
Phone
National Insurance Number
Driver License Number (If interested in volunteer driving roles)
We are committed to equal opportunities and will consider any appropriate adjustments to the volunteer environment to betters support you in your role, please give any details of any disabilities, health issues or support needs
What areas of our charity are you interested in?








When are you available?





















Tell us about any volunteering experience or of any relevant employment you have?
Do you have any specialist skills, interests or hobbies that are relevant to volunteering?
Criminal Convictions
Under the rehabilitation of Offenders Act 1974, do you have any unspent criminal convictions, cautions, reprimands or warnings?


If you have ticked yes, summarise details below of offences, penalties, dates and the country in which they occurred.
If the position applied for involves working with vulnerable groups, including children, this will require a Disclosure and Barring Service (DBS) check.
Having a conviction will not necessarily stop you from volunteering but will need to be taken into consideration when assessing your suitability.
References
We require two references for volunteers. You must have known them for at least 2 years and they cannot be a member of your family.  One work related referee is desirable.

Referee 1 Name
Referee 1 Address
Referee 1 Relationship
Referee 1 Phone Number
Referee 1 Email
Referee 2 Name
Referee 2 Address
Referee 2 Relationship
Referee 2 Phone Number
Referee 2 Email

Date
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Energy Support

If you are struggling to pay for your energy, Horsham Matters may be able to help.

We can provide a fuel voucher to help you top up your gas or electric meter. To find out if you are eligible, please email the team at info@https://www.horsham-matters.org.uk. Please note this is a means-tested provision, so you will need to provide evidence of need.

The team can offer additional support including general budgeting tips as well as benefit checks to ensure you are receiving all the benefits you are entitled to. Contact support@https://www.horsham-matters.org.uk for support.

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