Lamplight API response

First name

Last name

Address 1

Address 2

Address 3

Address 4

Address 5

Postcode

Email address

Mobile phone

Phone number

We would like to contact you about our services from time to time. You can opt out whenever you like, and we won't share your contact details with any other organisations. Are you happy for us to contact you:

By post

By email

By mobile

By text message

Other information

Date of birth

Gender

Emergency Contact - Name

Emergency Contact - Phone Number

How did you hear about the Centre?

What days and times are you available to volunteer?

Describe your previous work experience (including voluntary), and give approximate dates

What languages do you speak?

Why would you like to volunteer with us and what you would like to gain from this experience?

Please give the details of two refereers

Declaration of Criminal Records and DBS - PLEASE COMPLETE FULLY

Have you ever been convicted of a criminal offence or cautioned, reprimanded or given a finalwarning by the police (‘spent’ or ‘unspent’)

Are you disqualified from working with children or vulnerable adults?

I consent to a DBS Check in order to carry out my volunteering role if required.

Signed

Date

Islington Centre for Refugees and Migrants - Volunteer With Us

Other information

Declaration of Criminal Records and DBS - PLEASE COMPLETE FULLY