Volunteer applications – form Contact DetailsTitle-- Choose an option --MrMrsMissMsDrProfRevFirst Name*Last Name*Daytime Telephone*Address*Postcode*Email* MobileApplication DetailsVolunteer Role being applied for*Location of Volunteering (City/Town/London Borough)*Volunteering Availability(Please tell us when you are available e.g weekdays afternoons, or evenings and weekends etc.)Why you would like to volunteer at St Mungo's?*Why are you interested in the specific role you are applying for?*Current Employment Status-- Choose an option --Full time employmentPart time employmentUnemployedPart time StudentFull time studentVolunteerRetiredPrefer not to saySelf employedLanguages-- Choose an option --ArabicAwadhiAzerbaijani, SouthBengaliBhojpuriBurmeseChinese, GanChinese, HakkaChinese, JinyuChinese, MandarinChinese, Min NanChinese, WuChinese, XiangChinese, Yue(Cantonese)DutchEnglishFrenchGermanGujaratiHausaHindiItalianJapaneseJavaneseKannadaKoreanMaithiliMalayalamMarathiOriyaPanjabi, EasternPanjabi, WesternPersianPolishPortugueseRomanianRussianSerbo-Croatian4SindhiSpanishSundaTamilTeluguThaiTurkishUkrainianUrduVietnameseYorubaTo select a language please double-click on the language or highlight the language and then use the arrow button to move it across. Ctrl and Shift can be used to highlight multiple languages.Additional relevant informationAre you currently a client of St Mungo's?-- Choose an option --YesNoAre you connected to any clients at St Mungo's?-- Choose an option --YesNoplease tell us howDo you have a full UK driving license?-- Choose an option --YesNoAre you are a member of St Mungo's staff Yes please give detailsAre you currently supporting St Mungo’s?-- Choose an option --YesNo(this could include making a donation, campaigning for us or taking part in an event such as an abseil or marathon)Do you have any criminal convictions, spent or unspent?-- Choose an option --YesNoFor some roles we may ask volunteers to do a DBS check (previously called CRB checks). Having a criminal record will not necessarily prevent you from volunteering with St Mungo's, but some convictions may require further discussion.ReferencesPlease provide us with the details of two people we may contact as referees, to comment on your suitability for volunteering. These can be colleagues, tutors or people of a professional standing in the community but not friends or family members.Reference 1 Name*Reference 1 Address*Reference 1 Email* Reference 1 PhoneHow do you know this referee?Reference 2 Name*Reference 2 Address*Reference 2 Email* Reference 2 PhoneHow do you know this referee?Emergency ContactPlease provide details of a named person to contact in case of any situation whilst undertaking your volunteer workName of Contact*Contact Telephone Number*How do you know this person?*CommunicationsTo keep you informed on other ways of supporting St Mungo’s, and how you could make a difference, we would like to contact you by post in the future. Please place a tick in the box if you do not wish to be contacted Yes Please place a tick in the box if you’re happy for us to contact you by email Yes Equal Opportunities Monitoring FormTo request a full copy of our Equal Opportunities Policy Statement please email firstname.lastname@example.org.Gender-- Choose an option --FemaleMaleOtherPrefer not to sayDo you identify with a gender that is different to that which was assigned at birth?-- Choose an option --YesNoPrefer not to sayDate of Birth NationalityEthnic Origin-- Choose an option --White BritishWhite IrishWhite Gypsy or Irish TravellerWhite OtherMixed White & Black CaribbeanMixed White & Black AfricanMixed White & AsianMixed OtherAsian or Asian British IndianAsian or Asian British PakistaniAsian or Asian British BangladeshiAsian or Asian British ChineseAsian or Asian British OtherBlack or Black British CaribbeanBlack or Black British AfricanBlack or Black British OtherOther ethnic groupPrefer not to sayUnknownReligion-- Choose an option --Baha’iBuddhismChristianityCatholicHinduismDruidryHeathenismIslamJainismJudaismPaganismRastafarianismScientologySikhismWiccaZoroastrianismOf no religionOtherPrefer not to saySexuality-- Choose an option --Prefer not to sayBisexualGay manGay woman/lesbianHeterosexual/straightOtherAre you an Ex Client?-- Choose an option --YesNoPrefer not to sayDefinition: Ex-Client Individuals who in the last five years have been a resident/used St Mungo's or similar agencies' operational services.Do you consider yourself to have a disability?-- Choose an option --YesNoPrefer not to sayplease give detailsWe take great care of all your personal information, and because we comply fully with Data Protection guidelines, will ensure it is confidentially stored. It will not be passed on to a third party. We do use statistics to monitor our progress on equality and diversity.