Call : 01233 758122

Application Form

CARM welcomes applications from people of all ages, regardless of disability, ethnic origin, faith, gender or sexual orientation.

Your Details

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Type your date of birth

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Type your home phone number here

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Which of our services interests you?

Details of Person to contact in an Emergency

(please check with the person concerned that they are happy for you to use them as a contact)

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Type the relationship here

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Type your home phone number here

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Type mobile phone number here

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Health

This section helps us to make sure your needs are addressed by us and that you are matched to suitable tasks/roles. Please give details of any health issues or special requirements that we need to be aware of that may impact your volunteering, also please let us know if you would need any support to carry out a volunteering role. (If none please write “None”).

Type any health issues here

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Skills

We will use this section to plan what type of support you should have while volunteering with us:

Please list any relevant skills or experience that may be relevant to the volunteering role that you are applying for:

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Please list any relevant skills or experience that may be relevant to the volunteering role that you are applying for:

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Reason

This section helps us to understand why you want to be part of our organisation and to make sure that you get the most out of your volunteering experience with us.

Please list any relevant skills or experience that may be relevant to the volunteering role that you are applying for:

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Please list any relevant skills or experience that may be relevant to the volunteering role that you are applying for:

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Are you currently in paid employment?

Are you currently in paid employment? pleae select:

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If employed, what is your role?:

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Transport

Do you have a car?

Do you have a car?

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Are you willing to use your car to travel for the volunteer role?

Are you willing to use your car to travel for the volunteer role?

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If “yes”- distance prepared to travel:Are you willing to use your car to travel for the volunteer role?

if “yes”- distance prepared to travel:

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Other

Please include any other information which might be helpful in relation to your application?

Please include any other information which might be helpful in relation to your application?

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Disclosure and Barring Service (DBS) Check

Some volunteering roles will require you to complete a DBS check. Are you willing provide evidence of your identity?

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Reference

Referee 1

Name

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Email

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Address

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Phone

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Referee 2

Name

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Email

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Address

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Phone

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Declaration

I confirm, to the best of my knowledge, that the information given on this form is accurate.

I understand that should any statement be found to be false, I may be asked to leave the organisation.

I agree to this information being stored and used in line with the Data Protection Act 2018 and GDPR.

Declaration:

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Todays date:

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Make a donation

Donate today and help us

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The word ‘loneliness’ expresses the pain of being alone

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CARM (Caring Altogether on Romney Marsh) Sunflower House, Rolfe Lane, New Romney Kent TN28 8JR

Registered charity no. 1184552


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