HOPE Volunteer Application Form Name(required) Email(required) Phone Number(required) Date of Birth Address Emergency contact person (Name and Telephone number) Previous or Present Employment Any voluntary or unpaid work Please list any hobbies/interests What prompted you to apply as a volunteer with HOPE Garden Days/times available. Regular weekly opportunities available Tue-Sat 9am-4pm Preferred volunteering type Shop Gardening Working around the garden with Trainees as a Mentor Any What skills you can bring to HOPE Garden/ do you have any relevant training or experience? i.e. horticulture, gardening, retail, first aid etc? Any health conditions we need to be aware of? i.e. heart condition, epilepsy, allergies, etc. (some opportunities at the garden can be physically demanding)(required) Date of last Tetanus injection (if known) volunteer gardeners Have you been any spent or unspent convictions or any pending cases that might affect your suitability to work with vulnerable adults? yes no If yes, please give details (this does not necessary exclude you from volunteering). Character Referees 1 (Name, Email, Phone, Contact address) Character Referee 2 (Name, Email, Phone, Contact address) In accordance with the Scottish Government Guidelines HOPE Garden has agreed that all volunteers working with vulnerable adults will be asked to become a member of the PVG Scheme administered through Disclosure Scotland. Any information received will be strictly confidential. Data Protection –your personal details will not be given to anyone outside HOPE Garden SCIO unless it is necessary for us to do so ie in order to comply with the law, or with police investigations. Statistical information may be disclosed for examples to our Funder or in our Annual Report, your name will not be used and the information will not be disclosed in any other way that identifies you. We can only do this with your consent. You may withdraw your consent at any time by contacting us on 01241 430499 or email enquiries@hopeorganicgarden.org.uk “I understand that you will use my information to match me with an opportunity at HOPE Garden SCIO and you will use my information for your own statistics only which will not reveal my identity." (required) " I can confirm the information provided is, to the best of my knowledge, correct” Signed (please type name)(required) Date(required) Send Δ