VOLUNTEER PROGRAMME

FESTIVAL OF BRITAIN CELEBRATIONS: 22ND APRIL – 4TH SEPTEMBER 2011

Interested? Fill out this form, return it to us and we’ll get back to you

Email: volunteer@southbankcentre.co.uk
Post: Volunteer, Southbank Centre, Belvedere Road, London, SE1 8XX

If you‘d like a version of this form in an alternative format, such as large print or if you require other
adjustments, such as a BSL interpreter please contact us on 020 7921 0977 or the above email

SECTION A:
YOUR DETAILS
Family name:       First name:      

Address:      

Postcode:      

Mobile Telephone Number:       Home/Other Telephone Number:      

Email:      

How did you hear about this volunteer      

opportunity?
PLEASE NOTE YOU MUST BE AGED 18 YEARS OR OVER TO VOLUNTEER ON THIS PROGRAMME AT SOUTHBANK CENTRE

SECTION B:
Why do you want to volunteer with Southbank Centre?
     

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 SECTION C:
When are you available to be a Welcomer?

You can volunteer from 22nd April to 4th September 2011 as a Welcomer and there will be a choice of 2
shifts per day, 11am - 4pm or 1pm – 6pm. You can volunteer for the whole Festival or just one half
and either fortnightly, weekly or more often. Tell us what you’d like to do and we’ll try and match it.
We’re looking for a regular commitment and with a minimum of 9 shifts in total. There will also be
training during April which you’ll need to come to, details will be confirmed later.

You can volunteer for the first or second half or the whole Festival. Which period would you like to do?

22nd April – 26th 27th June – 4th

The whole Festival
June September

How often are you able to volunteer during your chosen period?

Twice a Week Once a Week Fortnightly

There will be a choice of 2 shifts per day, which shift(s) would you like to do?

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

11am – 4pm
1pm – 6pm

Are there any dates that you can’t volunteer for within your selected period?

     __________________________________________________________________________

SECTION D:
We are also looking for some volunteers who can be Team Leaders to support the Welcomers. If
you’d like to be a considered as a Team Leader instead, tick the box to say on which day(s), all shifts
will be 10.45am – 6.15pm. We’re looking for a regular commitment and with a minimum of 9 shifts in
total.

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

10.45am –
6.15pm

Are there any dates that you can’t volunteer for within your selected period?

     _________________________________________________________________________
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SECTION E:
REFEREES: Please give details of two people, who can support your application and who would be
willing to provide a character reference if necessary. Please note these cannot be a friend or relative.

Family name:       First name:      

Address:      

Postcode:      

Mobile Telephone Number:       Home/Other Telephone Number:      

Email:      

In what capacity do you know this person?      

Family name:       First name:      

Address:      

Postcode:      

Mobile Telephone Number:       Home/Other Telephone Number:      

Email:      

In what capacity do you know this person?      

SECTION F:
Do you have any additional support needs?
     

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SECTION G:
CRIMINAL OFFENCES

Have you ever been convicted of a criminal offence? Yes: No:

If yes, please give details.
Date of conviction Offence
           
           
           

NOTE:
If for the purposes of the Rehabilitation of Offenders Act 1974 you are a rehabilitated person and your
conviction is to be treated as ‘spent’ you do not have to include details of that conviction unless the
position for which you are applying involves you having access to persons who are disabled or under
the age of 18 or over 65. Disclosure of a conviction will not necessarily prevent you from being
considered for appointment to a position.

WHAT’S NEXT?

Once you’ve filled out this form, return it to us and we’ll get back to you to confirm we’ve received it
and invite you to a Volunteer Open Day at Southbank Centre on Saturday 26th February between
11am and 3pm.

DECLARATION

I declare that the information contained in this application is complete and correct. I understand that if I
have knowingly provided false information or withheld relevant details, it will disqualify me from further
participation in the application process or from an appointment, or if discovered after acceptance, may
lead to the placement being rescinded.

Tick here to confirm:

I consent to the processing by Southbank Centre of my personal data contained within this form for all
those purposes normally associated with an application for volunteer placement. I acknowledge that
‘processing’ for these purposes shall have the same meaning as in the Data Protection Act 1998.

Signature:     ______________________________ Date:      

Please note that by submitting this form electronically your consent is taken to have been given

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 DIVERSITY MONITORING FORM
The purpose of this form is to enable us to monitor the effectiveness of our Equality and Diversity
policies. We recognise the benefits of a diverse workforce and are striving to promote equality and
diversity. We are committed to developing positive policies to promote diversity and equality in
recruitment and employment, which ensure equal access and treatment of all applicants and
employees regardless of sex, marital status, race, colour, disability, nationality, ethnic origin, sexual
orientation, age or religious belief.
We would be grateful if you could assist us by completing this form. All information will be treated in
the strictest confidence and will be used for Diversity monitoring purposes only.

If you would prefer not to give this diversity information please tick the box below.

Prefer not to give:

1. Age    Date of birth   /  /     

2. Gender How do you identify yourself? Male Female

3. Disability Do you consider yourself to Yes No

have a disability?

If so, please give a brief indication of the nature of your disability

     _______________________________________________________________________
_______________________________________________________________________________

ETHNICITY
The following categories were used for the 2001 census by the Office of Population Censuses and
Surveys and are recommended by the Commission for Racial Equality. They do not refer to place of
birth, citizenship or nationality, but to the ethnic group to which you belong.

Please choose one box which best describes you:

Asian or Asian British: Bangladeshi

Indian
Pakistani
Any other Asian background (Please specify):

Black or Black British: African

Caribbean
Any other Black background (Please specify):

Chinese or other ethnic group: Chinese

Any other ethnic background (Please specify):

Mixed Background: Asian and White

Black African and White
Black Caribbean and White
Any other mixed background (Please specify):

White: British
Irish
Any other White background (Please specify):
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