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:
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.
Role:
Base:
Date commenced:
Please email this completed form to library.service@rochdale.gov.uk or hand it in at your local library.
