Volunteer registration form

Emergency contact details
About you

Written/Email references are required for all volunteers. Please give details of two people from whom confidential references may be obtained. If you are employed or have recently left employment the first referee should be your employer. If you have volunteered elsewhere or are still volunteering, then one referee should be your volunteer placement contact. Additional referees can be employers or friends who have known you for at least two years but must not be family members.


Because of the nature of some posts, it is important that you complete this section carefully and accurately. Applicants for posts volunteering with or having access to Vulnerable Adults are subject to an enhanced disclosure through the Criminal Records Bureau (England). Because the position for which you have applied may be covered by the Rehabilitation of Offenders Act 1974 and the Care Standards Act 2000, you are required to disclose all convictions and cautions no matter how long ago they occurred and regardless of whether the offense was committed as a juvenile or adult.

If you would like a copy of our policy on the employment of people with a criminal record or to discuss any aspects of this please contact our HR Department on 01983 217319.


I declare that the information I have provided and the statements I have made, including those relating to the disclosure of any criminal record and medical information, are both true and complete and that I am both mentally and physically fit to undertake the post as detailed within the role profile (if supplied). This information will form the basis of my Volunteering and become a part of my volunteer record. Should it subsequently be proved that any information is false, misleading or has been withheld I understand that Mountbatten may not seek to utilise me as a volunteer. I accept that information within this application form will be used by Mountbatten for the purpose of processing my application. Further, should my application lead to being successfully started in a volunteer capacity, information and personal data about me, including that relating to my ethnic origin and health, will be retained and processed for the purposes of monitoring and employment procedures in accordance with the Data Protection Act 1998 I understand that to complete my registration as a volunteer I will be required to: • Undertake a DBS check (formerly CRB check) if required for my chosen role. • Attend mandatory induction training, and annual refresher training thereafter. • If a suitable volunteering role is available to me, I may be required to complete a medical questionnaire. Declarations on this questionnaire will not automatically preclude anyone from volunteering but may require further exploration to ensure that I am fit for the role and that Mountbatten can take reasonable measures to accommodate my needs and minimise any risks to my health. • Attend role specific training as needed (e.g food hygiene, manual handling, COSHH) • Provide relevant professional certificates and insurance details where necessary.

Privacy notice

Our privacy notice can be viewed here:https://www.mountbatten-hampshire.org.uk/privacy-policy. This provides information as to how we use, interpret and process the data within this registration form.