Volunteer Application

Thank you for your interest in volunteering at Little Village!

We are powered by an amazing group of volunteers who make it the incredible place it is. We'd love to have you on board to help us carry on running our service.

What is your first name?

What is your last name?

Please can you give us your email address?

And your telephone number?

And your street address?

City

Post Code

Which borough do you live in?

And please could you tell us your date of birth?

What is your ethnic background?

Please choose

Ethnicity

We'd like to know what religion you are, if you have one, and if you are happy to share that with us. This information can be useful for us when talking to organisations that fund our work. (This question is completely voluntary)

BuddhistChristianHinduJewishMuslimNon-religious (Atheist, Humanist etc)SikhOtherPrefer not to say

Please provide the name of an emergency contact

What is their phone number?

What is their relationship to you?

Do you have an up-to-date DBS check? (We only require this for roles with direct contact with families which we will organise).

YesNo

Please give us your DBS Certificate number:

Do you subscribe to the updating service?

YesNo

Do you have any medical conditions we should be aware of, or do we need to make any reasonable adjustments to support you in a volunteer role?

YesNo

Please specify:

Do you speak a language other than English?

YesNo

What language and to what level? (Basic or fluent)

What availability do you have? (Please note that we are only able to accommodate babies under 6 months old - we cannot accommodate older babies/children unless they are able to volunteer in their own right)

Monday amMonday pmTuesday amTuesday pmWednesday amWednesday pmThursday amThursday pmFriday amFriday pmEvenings onlyWeekends only

Which volunteer role(s) are you interested in?

Volunteering at our Brent (Wembley) SiteVolunteering at our Roehampton site (Monday 10:00 - 13:00)Volunteering at our Hackney site Home based role, contacting families via the telephoneDriving stock and delivering to families

If you answered yes to driving, please select all that apply:

I have a clean driving licenseI have my own vehicle I'm happy to use for deliveriesI would be happy to collect and drive a rental van

How did you hear about volunteering opportunities at Little Village?

Local or national media?

Local MediaNational Media

Which of the following channels?

FacebookInstagramTwitterSocial Media (Other)From a current VolunteerFamily memberFriend / ColleagueFrom donating to Little VillageFrom my midwife / health visitorFrom a professional partner or organisationFrom seeing a leaflet or posterFrom being referred to Little Village / receiving supportOther

Facebook page:

Professional partner/organisation:

Any other information

Do you have any other skills or interests that would be useful for us?

And finally, why have you applied to volunteer at Little Village, what would you like to get out of the experience?

Is there anything else you want to tell us?

By submitting this application you will be added to Little Village's volunteer database and will be contacted in relation to volunteering and associated activities.

Any personal information supplied on this form will be held securely in line with Little Village's data protection policy which can be found at littlevillagehq.org. Consent can be withdrawn at any time by emailing hello@littlevillagehq.org.