Volunteer Registration

As this role will need individuals of marginalised communities to use their lived experiences to steer the direction of our work, we are asking for the following demographic information. This information will only be used for volunteer recruitment purposes and it will be stored in accordance of the Data Protection Act 2018. We will hold this data if you are successful and until your 12-month role comes to an end, afterwards your data will be destroyed.

Before proceeding, please confirm that you are able to attend the mandatory induction training on
Novemeber 7th 2026 between 10am and 3pm in Newcastle

If you are unable to attend this session, you will not be able to complete and submit your interest in volunteering at this time. Please be aware that all reasonable training expenses will be paid for by the charity.

Your Details

Pronouns

First Name

Last Name

Phone Number

Job Title

Address

Street Address

Street Address Line 2

City

Postal Code

Region

Country

England

Scotland

Wales

Northern Ireland

Equality, Diversity and Inclusion

Sexual Orientation

If you describe your sexual orientation with another term, please provide

Gender identity

Gender - Other

Do you identify as Transgender?

Ethnic origin

Is there any additional support or adjustment you may need to help you feel comfortable and supported in your volunteering role?

Please share any information you feel would be helpful for us to know

Emergency Contact

Emergency Contact Name

Emergency Contact Number

Emergency Contact Email

Emergency Contact Relationship

Volunteer Registration Fields

What volunteer role are you applying for?

Helpline volunteer

Volunteer support group leader

Webchat volunteer

Volunteer Moderator - Health Unlocked

Volunteer Moderator - closed Facebook community

Relevant skills and experience

Commitment

Would you be willing to attend in-person or online induction training?

Yes

(all reasonable expenses are paid for by the charity)

Would you be willing to attend online refresher and any other additional training to support you in your volunteering role?

Yes

Can you commit to a volunteering period of 12 months?

Referees

Reference checks are a standard part of our volunteer selection process. Please provide the name and contact details of two people who are not family members and who are willing to act as referees for your chosen voluntary work position.

Referee 1

First Name

Last Name

Phone Number

Relationship to applicant

Referee 2

First Name

Last Name

Phone Number

Relationship to applicant

Please confirm that the referees have been made aware that you have added them as a reference. They will receive an email for more information

Disclosure

Under the rehabilitation of Offenders Act 1974, do you have any unspent criminal convictions? (If you have stated yes, provide details below. Having a conviction will not necessarily stop you from volunteering, but it will need to be taken into consideration when assessing your suitability).

Do you have any unspent criminal convictions?

Yes

Details of Criminal Convictions

Volunteer Agreement and Declaration

Volunteer Agreement

Click here to see the General Volunteer Agreement

Click here to see the Equal Opportunities Statement

You have read and understood the Charity’s General Volunteer Agreement and agree to uphold the expectations outlined within.

Yes

I declare that the information given in this application is a true and complete statement

I declare that the information given in this application is a true and complete statement

I understand that any offer of appointment and subsequent volunteering is subject to satisfactory references and satisfactory disclosure from the Disclosure and Barring Service or Disclosure Scotland.

Declaration Date

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