Apply on-line

Volunteer Application Form

Name

Tel

Email

Address

Are You
Male Female

Date of Birth

Do you have any disabilities/illness which may restrict your activities?

Yes No

To enable equality of opportunity for all candidates, please tell us if additional considerations need to be taken into account for you to attend an interview.

Have you a car you would be prepared to use for your voluntary activities?

Yes No

If YES please complete the following:

Do you have a full driving licence?

Yes No

Do you have any current driving endorsements?

Yes No

If yes please give details

Why are you interested in becoming a volunteer for Cheshire Fire & Rescue Service Safety Team?

4-6hrs
1 day
2 days
3 days
4 days
5 days

If you application is accepted, you will be asked to take part in induction/training for your role. Please indicate when you are available to attend training sessions

Evenings
Daytime
Weekends

Other restrictions

How did you learn about Cheshire Fire & Rescue Service Safety Team?

Please give the name of two people who could give you a character reference. These should be someone who has known you for more than 2 years, who is not a family member, e.g. close family friend, current/past employer, college tutor.
Name Address Tel Relationship Name Address Tel Relationship

Have you been found guilty of an offence by any court?

*Yes No

Are there any outstanding summonses or charges against you?

*Yes No

*If YES please supply details in a sealed envelope. All information given will be treated strictly confidentially.

(Please note that having a criminal record will not necessarily exclude you from being considered for voluntary work. Failure to disclose a criminal record which later becomes known will, however, lead to instant dismissal from a volunteering role. Due to the nature of the work, some roles are exempt under the Rehabilitation of Offenders Act 1974 and you are required to declare all criminal convictions including those which are spent)

Please select the option which you feel best describes your ethnic origin:

I declare that I believe the information given in the form to be true to the best of my knowledge, and I authorise Cheshire Fire Service to undertake Criminal Record Checks.