Norwich & Norfolk Voluntary Services

Application to become an Advocate

All information you give us on this application is treated in the strictest confidence. Please feel free to discuss any aspect of this form with us.

About You

Name

Address

Address (continued)

Town / City

Postcode

Home phone number

Daytime phone number (if different)

Your activities

Employed

Unemployed

Voluntary Worker

Retired

Other (please specify)

Occupation/voluntary work (if applicable)

Employer (if applicable)

Referees

Please give the names and addresses of two people who are willing to provide character references. Referees should not be related to you.

Referee 1

Address

Address (continued)

Town / City

Postcode

Contact phone number

Referee 2

Address

Address (continued)

Town / City

Postcode

Contact phone number

Statement of support

Why do you want to be an advocate? What skills or experience do you have which you think would help you in the role?

Police Checks

All volunteers who work with people who may be vulnerable to abuse need to have their police record checked to ensure that they have not been convicted of a serious violent or sexual crime. I am willing to have a Police Check

When you meet us we will ask you to sign the following declaration:

I have never been convicted of a serious violent or sexual criminal offence that would be incompatible withthe status of being an advocate.
I agree to conduct all dealing with NVS Advocacy Service and its users within the policies of the project.
I declare that all the information given on this form is correct to the best of my knowledge.

Where did you hear about NVS Advocacy Service?

Norwich & Norfolk Voluntary Services

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Application to become an Advocate