EmailMe Form - Volunteer Assistant Application Form

Title *

Forename *

Middle Name(s)

Surname *

Home Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Home Telephone Number

Mobile Telephone Number

Email *

Date Of Birth *

DD / MM / YYYY

*Some events are age-restricted.

Do you object to working in the presence of Smokers, or in the presence of people drinking Alcohol? *

Neither of these are a problem for me; I'm happy to be in the presence of both drinkers and smokers.

Yes I object, I do not want to be around cigarettes and/or alcohol.

I'm ok with alcohol, but I do not want to be in the presence of cigarettes.

I'm ok with cigarettes, but I do not want to be in the presence of alcohol.

*Some events are held outdoors and host their own bar (or are on the grounds of a pub or nightclub); consequently, during certain events you're likely to be surrounded by people drinking and/or smoking; if this is a problem, don't worry! There are still various other events which may be more suitable for you.

Do you have your own transportation (e.g. a car)? *

Yes

No

Please list any education / training which you feel is relevant to this work

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List any non-vocational experience / skills relevant to your application (e.g. hobbies, leisure, etc) *

Is there anything that may affect your ability to do certain jobs? *

*Please mention allergies / dietary requirements, physical limitations, phobias, etc. This will help us to choose the most suitable events for you.
NOTE: If you have severe allergies or dietary requirements, it is advised that you bring a packed lunch with you to all events.

Do you have an up-to-date Criminal Record Check (DBS / CRB)? *

Yes, a Basic DBS / CRB

Yes, a Standard DBS

Yes, an Enhanced DBS (without Barred List)

Yes, an Enhanced DBS (with Barred List)

No

*Required for working with vulnerable people (including children).

Do you have up-to-date valid certification for Manual Handling in the workplace? (Equipment/Goods) *

Yes

No

*Not essential.

Do you have up-to-date valid certification in Basic First Aid? *

Yes

No

*Not essential.

If you have a digital copy of any of the above
(DBS, Manual Handling, First Aid), please attach them here...

*Photos or Scanned copies are acceptable.
(Accepted formats include: PDF, JPG, JPEG, PNG, GIF,
TIF, DOC, DOCX, TXT, XLSX)

Why would you like to work as a Volunteer Assistant for LippyArt? *

(State any personal attributes you may have)

State days you are available to volunteer... (please remember that some events start early and/or finish late) *

Please state anything (such as occasional commitments)
that may affect your reliability...

*Please include if you can only start/leave from specific times on certain days.

Are you willing to travel out of town for an event? *

Yes, I love travelling - any distance is fine by me!

Yes, I love travelling - only short distances though, preferably within my own county / surrounding area.

No, I prefer to stay local to my hometown.

If 'Yes' (above), are you willing to sleep-over at a provided hotel if the event covers multiple days?

Yes

No

Tick the types of assistance you're willing to provide... *

	Yes	No
General Lifting / Moving of Equipment & Stock (including Pushing Trolleys)
Participate in fundraising projects (may involve carrying donation bucket, silly antics, costumes, etc)
General set-up (erecting tables, marquee, organising & displaying items, etc).
Customer services (taking orders, calculating / handling money, answering questions, etc)
Fetching food & drinks
Photographing the event for LippyArt's personal & public use
Filming the event for LippyArt's personal & public use

Please name anything I haven't below...

Would you object to working around animals, such as at zoos or rescue facilities? (e.g. due to allergies, personal beliefs, etc) *

Yes

No

Would you object to handling food items containing animal products, such as meat or fish? (e.g. if you are vegetarian/vegan) *

Yes

No

*Sometimes you might be requested to run a quick errand to fetch food & drinks, and sometimes that order contains meat; if this is a problem, you won't be asked to do this.

Would you object to volunteeting at events with children? *

Yes

No

Would you object to volunteeting at events with the elderley? *

Yes

No

Would you object to volunteeting at events with physically disabled people? *

Yes

No

Would you object to volunteeting at events with mentally disabled people? *

Yes

No

Do you have any other requirements or concerns not mentioned above?

Please attach any other documents you feel are relevant
(e.g. CV, notes, video introduction, etc)...

Accepted File Types: PDF, JPG, JPEG, GIF, TIF, PNG, DOC, DOCX, PPT, PPTX, XLS, XLSX, TXT, MP3, MP4, MPG, FLV, AVI (Maximum 800MB).

REFERENCES

Reference #1

Forename *

Surname *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Telephone Number

Email

Capacity in which known to you... *

Reference #2

Forename

Surname

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Telephone Number

Email

Capacity in which known to you...

CRIMINAL CONVICTIONS

The provisions relating to the non-disclosure of Criminal Convictions do not apply to certain occupations and activities; the position for which you are applying is exempt under the Rehabilitation of Offenders Act. Therefore, it is necessary for you to disclose any Criminal Convictions, even if, under the Act, they would otherwise be regarded as "Spent".

Have you been convicted of any criminal offence at any time? *

Yes

No

If Yes, please give details of the conviction(s) and the date(s)

DECLARATION

I agree... (tick all that apply) *

I certify that the information I have given on this form is correct to the best of my knowledge.

I certify that I have read, understood, & agree to everything outlined in the volunteer description & terms.

I understand that by sending LippyArt captures I have taken during my time with them, I am giving permission for all sent Captures to be used in any way LippyArt requires.

I understand & accept that I may appear in Captures, of which may end up in the public domain. Including LippyArt's own captures, or a third party. I give LippyArt permission to use captures in which I am present for all required purposes.

*The name "LippyArt" refers to Leanne Beetham.
*The term "Captures" or "Capture" refers to images or video footage.
*The term "Public Domain" means content viewable by the public (such as online, magazines / newspapers, blogs, television, etc).

Signature *

Clear

*If you have any queries regarding this form, please email: forms@lippyart.co.uk

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