Volunteers


You need to be at least 18 years to be a volunteer for Crossroads Carers. Please confirm that you are 18 years or over by clicking on the button below:

I declare that I am 18 years or over

Personal Details

Title:

Forename(s):
Surname:
Address1:
Address2:
Address3:
Postcode:
Home Phone:
Work Phone:
Mobile:
Email Address:
How did you hear about volunteering for Crossroads?

Do you have any specialist skills, interests or hobbies?

Emergency Contact

Next of Kin:
Relationship:
Contact Number / Address:

Equal Opportunities

Crossroads Caring for Carers (NI) Ltd welcomes volunteers with all ranges of abilities. So we can consider any appropriate adjustments to
volunteer environment and better support you in your role, please give details below of any disabilities or health issues:

References

Please note we do not accept references from family members or Crossroads employees. Please obtain consent from the named persons from whom references will be sought and provide full contact details for them.

Referee One:
Name:

Company Name:

Company Address:

Postcode:

Telephone:

In what capacity do you know this person?

How long have you known this person?
Referee Two:
Name:

Company Name:

Company Address:

Postcode:

Telephone:

In what capacity do you know this person?

How long have you known this person?

Declaration

I confirm that the above information is complete and correct. I understand that an Enhanced Disclosure check must be carried out before an offer of appointment can be confirmed. This has been explained to me and I am aware that spent convictions must be disclosed. I also agree that the company may apply for references as noted above. I understand; should I fail to do so, or should any information come to light, which is not to the satisfaction of the Company, any offer of a volunteer position may be withdrawn or terminated.