Apply online - Omega... Ending Isolation

Thank you for your interest in volunteering with Omega. If your application is successful, you will be asked to undertake training specific to the role for which you are applying before you can start volunteering; this could include an induction and an adult safeguarding course. If you are expected to work with vulnerable clients, you will be asked to obtain a DBS Certificate.

We will carefully consider the information you provide and make contact with your referees. To process your application, we will need photo ID (a valid passport or driving licence) and a separate document to show proof of your address (a utility bill or bank statement).

The information you supply on this form will be stored securely in accordance with data protection legislation and treated as strictly confidential. By signing and returning the form, you agree to the processing of the data contained or referred to in it, including information that may be considered to be sensitive personal data.

Please note: Chatterbox befrienders must be prepared to commit to a minimum of 1 telephone call a week for 26 weeks.

Which volunteering role(s) are you interested in?(Required)
Please tick all that apply.
Chatterbox Telephone Befriender
Letterbox Penpal Befriender

Name(Required)
Prefix First Last

Phone(Required)

Email(Required)

Address(Required)
Street Address Address Line 2 City County Postcode

DBS Certificate Number (if applicable)

DBS issue date (if applicable)

Day
Month
Year

Please upload your DBS Certificate
We require both sides of the document.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 512 MB, Max. files: 2.

Age declaration(Required)
I confirm that I am aged 18 or over.

Date of birth(Required)

Day
Month
Year

How did you hear about Omega?(Required)

Why would you like to volunteer with Omega?(Required)

Do you have any previous experience of volunteering?(Required)
Please give details of your role(s) and any skills you believe you could bring to Omega.

Tell us about your hobbies and interests.(Required)

If you are applying to be a Chatterbox telephone befriender, please tell us when you would be available.(Required)
For example, 'after 5pm on weekdays or Saturday afternoons'.

Have you at any time received, or do you have pending, a police caution, reprimand, final warning or conviction?(Required)
Please note: this information will only be taken into account if we consider it relevant to your application.

Yes

No

If 'Yes', please give details.(Required)
Including date, nature of summons/charge/caution/allegation, court and sentence/order.

Is there any other information that, if it were to become known at a later date, might prevent you from being considered as suitable to volunteer with us?(Required)

Yes

No

If 'Yes', please give details.(Required)

Please upload your photo identification.(Required)
Accepted: valid passport or photo driving licence
Accepted file types: jpg, png, pdf, Max. file size: 512 MB.

Please upload your proof of address.(Required)
Accepted: recent utility bill or bank statement
Accepted file types: jpg, png, pdf, Max. file size: 512 MB.

Referees

Please provide contact details for 2 referees. Neither referee should be a member of your family unless in exceptional circumstances.

Referee 1(Required)
This should be your present/previous employer (paid or unpaid) or colleague.
First Last

Referee 2(Required)
This can be someone who knows you personally.
First Last

Referee 1 address
Street Address Address Line 2 City County Postcode

Referee 2 address
Street Address Address Line 2 City County Postcode

Referee 1 phone

Referee 2 phone

Referee 1 email

Referee 2 email

How long have you known Referee 1 and in what capacity?(Required)

How long have you known Referee 2 and in what capacity?(Required)

Your emergency contact

Who would you like us to contact in case of emergency?

Emergency contact name(Required)
First Last

Emergency contact address
Street Address Address Line 2 City County Postcode

Emergency contact phone(Required)

Emergency contact email

What is your relationship to your emergency contact?(Required)

Volunteer applicant declaration

Please read and sign below.(Required)
"The information I have given on this form is to the best of my knowledge correct. I understand that the provision of false or misleading information may result in the termination of my befriending role. I also give my consent to the processing of data contained within this form in accordance with data protection legislation and agree that Omega can send me information, including news, details of events and meetings and fundraising information."

Equal opportunities monitoring information

We are an equal opportunity organisation. This means we try to ensure that no team member, paid or unpaid, receives less favourable treatment because of age, disability, gender reassignment, marriage and civil partnership, pregnancy or maternity, race, religion or belief, sex, or sexual orientation. To ensure that this policy is fully and fairly implemented and monitored, would you please provide the following information.

Do you have a disability?(Required)
Using the Equality Act 2010 as a guide, a disability is a ‘physical or mental impairment which has a substantial and long-term adverse effect on a person’s ability to carry out normal day to day activities.’

Yes

No

Prefer not to say

If 'Yes, please detail any reasonable adaptations you may require.(Required)
For example, if you have a visual impairment which requires all documents to be JAWS compatible.

How would you define your ethnicity?(Required)

Asian/British Asian

Black/Black British

Mixed/Multiple Ethnic Groups

White/White British

In another way

Prefer not to say

Which of the following best describes your gender identity?(Required)

Female

Male

Non-binary

Transgender

Prefer not to say

Which of the following best describes your sexual orientation?(Required)

Bisexual

Gay or Lesbian

Heterosexual or Straight

Another sexual orientation

Prefer not to say