Volunteering With Us Volunteer Application Form Name * First Last * Last Address * Mobile Phone Landline Email * Date of Birth * Gender * Male Female Other Occupation [if any] General Details Do you have a disability or special needs? * Yes No Please specify details as appropriate We ask for a commitment of 12 months to Victim Support at Court, at this point are you able to give this time commitment? * Yes No Where did you hear about Victim Support at Court? Newspaper Radio Poster Other Please give details as to which newspaper, radio station, location of the poster etc Please give details as to which newspaper, radio station, location of the poster etc Volunteering Queries Why do you want to become a volunteer with Victim Support at Court? * What has made you want to volunteer at this point in your life? * What is your understanding of the role of a Victim Support at court volunteer? What skills / experience / qualities would you bring to the Victim Support at Court? * Is there anything else you'd like to tell us? Criminal Record All volunteers must complete Garda Clearance forms during training. Do you have a criminal record or any pending charges? * Yes No Please note that answering 'yes' to this question will not necessarily disqualify you from becoming a volunteer' If yes, please state the nature, number and date(s) of the offence(s) Consent This form collects your name, email address and phone number so our support team can communicate with you regarding your application. Please check our Privacy Policy to see how we protect and manage your submitted data. Consent Checkbox * I consent to having VSAC collect my details via this form. If you are human, leave this field blank. Submit
