ROCHDALE
BOROUGH
COUNCIL
Library volunteer application form
Thank you for your interest in volunteering for Rochdale borough libraries. The information you provide in this
application form will help us decide how you may best help us. It’s really helpful if you can give us as much
information as possible about your experiences, interests and availability to volunteer.
Find out how we use your personal information at rochdale.gov.uk/privacy
Part 1 - the volunteer role you’re applying for
Role title:
Preferred library location(s):
Part 2 about you
Title: Full name:
Home address:
Date of birth: Phone number:
Email:
Part 3 - your interests and reasons for applying to volunteer
What do you hope to gain from volunteering with Rochdale borough libraries?
Please tell us about any hobbies or interests you have that might be relevant to the role you are applying for?
Part 4 – your availability
What days and times would best suit you and how often would you be able to volunteer?
Please email this completed form to library.service@rochdale.gov.uk or hand it in at your local library.
Part 5 - your skills and experiences
Please tell us about any skills, qualifications and/or voluntary work experience you have which may be relevant to
this role.
Libraries sometimes need volunteers with particular skills. Do you have any of the following skills? (tick
appropriate boxes)
Sign language Languages other than English
Please list which languages other than English you speak, if applicable:
Part 6 – references
Please provide details of 2 people who have known you for at least 2 years who will be able to provide references
regarding your work/studies/experience and your suitability to volunteer with us. They should not be related to
you and must be over 18 years of age. Examples could include previous employer, religious leader, community
support worker, teacher, etc.
Reference 1 details
Title:
Name:
Address:
Phone number:
Email:
Relationship to you:
Reference 2 details
Title:
Name:
Address:
Phone number:
Email:
Relationship to you:
Part 7 - emergency contact details
Please give details of someone we may contact in an emergency if needed.
Full name:
Address:
Mobile phone number:
How are you related to this person?
Please email this completed form to library.service@rochdale.gov.uk or hand it in at your local library.
Part 8 - declaration of criminal records and disqualifications
All potential volunteers who are eligible will be required to complete a Disclosure and Barring Service form and
any placement would be subject to satisfactory clearance.
I understand the relevant checks for the role I am applying for may be sought
Yes
Are you registered with the DBS Update Service?
Yes No
Part 9 - under 16s only - for parents or guardians of volunteers
I give permission for the above person to volunteer with Rochdale Borough Libraries and for their details to be
held on file.
I understand that Rochdale Borough Libraries will ask the above person to agree to adhere to all relevant policies
and procedures and to sign forms during training appropriate to their role.
Signed: Print name:
Date: Relationship to volunteer:
Part 10 - declaration
I understand and agree data contained in this application form will be used for volunteer recruitment purposes
and will be held on a computer database.
I confirm the information I have given is correct and complete and any false statements or omissions may result in
my services being terminated.
Signed: Print name: Date:
Are you under 16 years old?
Yes No
If yes, please ensure that Part 9 is completed.
For office use only:
Role:
Base:
Date commenced:
Please email this completed form to library.service@rochdale.gov.uk or hand it in at your local library.
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