Parent Mentor Volunteer Application Form

If you would like to be a Parent Mentor then please complete this online application form. Alternatively, you can email Jen Breen for an electronic or hard copy of the form at mentor@haemophiliascotland.org or by calling her on 07926096743. You can also contact Jen with any questions about the project or the application form.

All hard copies should be marked CONFIDENTIAL, and returned to:
Haemophilia Scotland, Mansfield Traquair Centre, 15 Mansfield Place, Edinburgh. EH3 6BB

Application Form

First Name

Surname

Home Address

Postcode

Daytime Telephone Number

Evening Telephone Number

Why would you like to volunteer as a Parent Mentor at Haemophilia Scotland?

What would you like to achieve through your voluntary work at Haemophilia Scotland?

Do you have any support needs? Please specify

What are your hobbies & interests?

Previous experience (Paid or Unpaid) that meets the criteria of the post:

Any other information relevant to the post:

Are you willing to visit people in their own homes? (Please note that expenses will be paid)

What times are you available on Mondays?

What times are you available on Tuesdays?

What times are you available on Wednesdays?

What times are you available on Thursdays?

What times are you available on Fridays?

What times are you available on Saturdays?

What times are you available on Sundays?

How did you hear about Haemophilia Scotland?

Do you have any Criminal Convictions (other than minor driving offences)?

If yes, please state date and nature of conviction

Please supply the name, address, phone number, email address, and your relationship for of two referees who know you well. This may be a previous or current employer, GP, Consultant, Nurse or a previous volunteering project. Please note that a referee cannot be a relative.

Declaration: I certify that all statements given above by me on this form are true and correct to the best of my knowledge. I realise that if I am recruited to volunteer and it is found that such information and any other documents associated with the recruitment and selection process is false or that I have withheld information I am liable to dismissal without notice.

N.B. All offers of unpaid employment will be subject to CRB disclosure checks and two references.

Parent Mentor Volunteer Application Form

Like this:

1 comment

Leave a ReplyCancel reply

Share this:

Like this:

1 comment

Leave a ReplyCancel reply