Volunteer Form Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * Email * Date of Birth MM DD YYYY Which role are you applying for? * Taking Part Event Both How did you hear about us? * Why are you interested in volunteering with Heart n Soul? * When are you usually available to volunteer? * References Please give the details of two people who we can contact for a reference. This cannot be a member of your family and at least one should be someone who knows you professionally through either employment or education. Reference 1 First Name Last Name Phone Email How do they know you? Reference 2 Reference 2 First Name Last Name Phone Email How do they know you? DBS Volunteers working with young people and vulnerable adults at Heart n Soul are required to have an Enhanced DBS check. Do you have an enhanced DBS check from the last three years? If not, we will be able to process one through Heart n Soul. Please Choose Yes No Support information Do you have a disability? Please Choose Learning disability Other disability No disability Prefer not to say Do you have any support or access needs? Please Choose Yes No If yes, please tell us what these are. Thank you for completing the form. The information that you have given is used for our own records. We keep this data securely and only staff who need to know the information have access. You can remove or update your information at anytime. Please see our privacy policy for more information. I would like to be updated about Heart n Soul projects, news, events and fundraising activities. Yes please! Thank you, someone will be in touch soon. We look forward to meeting you!If you have any questions please call us 020 8694 1632