Name :
Type your name

Address :
Type your address

Postcode :
Type your post code

Telephone :
(please note it is essential that we have a landline telephone number in addition to a mobile number) Type your telephone number

Email address :
Type your valid email addressInvalid format.

Date Of Birth :
Type your date of birth

Please note, some positions require appropriate qualifications (see below). Similarly, if you are applying to become a volunteer therapist, our requirement is that you must have external clinical supervision in place. Applications from individuals unable to meet these requirements will not be processed.

Helpline/Support Worker– must have landline number
Trainee Counsellor -student Number-
Web design – Must be able to update and design new websites
General assistants – finding information on the web and completing various other tasks
Professional advisors

Please state all qualifications along the awarding body and date of the award.

Please give an idea of which days you can work, and when you can start

Please include details of positions you have held whether paid or unpaid that are relevant to the post.

Please detail membership of any professional bodies relevant to the post.

Yes No

Because of the nature of the work BPDWORLD does and the fact that our volunteers will be working with vulnerable people, you are required by the Rehabilitation of Offenders Act 1974 to declare all criminal convictions including those which are spent. Please detail therefore any such convictions in the space below.

Enter 'none' if you have no convictions

Please provide the names, full postal addresses (including post codes) and other contact details of two people who are not related to you, who can comment on your suitability for this type of work. Where applicable, one of the referees should be a course tutor. Applications submitted without the full postal addresses of referees will not be processed.

Postcode :

Yes No

Postcode :

Yes No