Dad Matters Volunteer Application Form

Confidential

Home-Start Warrington is committed to safe recruitment practice as an important part of safeguarding and protecting children and vulnerable adults.

If you have difficulty completing this form, please ask your Dad Matters/Home-Start co-ordinator for help.

Name

Address including postcode

If you have been at this address less than five years, please give previous address

Home Telephone No

Mobile Telephone No

Date of Birth

Place of Birth

Emergency Contact name and phone no

References **See Notes below

Referee 1 Address Details

References **See Notes below

Referee 2 Address Details

Do you speak any additional languages (including sign language)

Yes No

How much time would you expect to be able to commit to Dad Matters as a volunteer on a regular basis? (minimum 30 mins per month)

Have you any commitments which could affect your volunteering availability e.g. work, regular hobbies?

How did you hear about Dad Matters?

Why would you like to become a Dad Matters volunteer?

Which Volunteer Role would you prefer? (DadMatters.org.uk/volunteering)

Outreach Group Facilitator Event Facilitator Social Media

**REFERENCES: Please give the name and address of two referees that you have known for a minimum of two years (not a relative) previous employer wherever possible; alternatively, school, college or other professional such as a religious leader or a volunteer supervisor) who may be contacted by Home-Start.

Please ask permission prior to submitting referees’ details and confirm full address.

As volunteers are in a privileged position supporting dads in maternity and antenatal settings, we have a responsibility to ensure that no one becomes a volunteer who would misuse this trust. Therefore, it is essential that you complete and sign this form.

The Disclosure and Barring Service has a guide which provides a simple and clear explanation of the disclosure application process. The guide can be viewed online at www.homeoffice.gov.uk/publications/agencies-public-bodies/dbs/dbs-checking-service-guidance/app-guide-dbs-form

Outreach – meeting dads at various venues, speaking to them and distributing resources
Dad Chat – facilitating our face to face groups for dads in various situations
Online – monitoring, moderating, developing and contributing to our online support groups.
Events – facilitating dad and baby events in various venues.
Lived Experience – if you have experience of any of the challenges dads face, such as miscarriage or perinatal loss, perinatal mental health issues, supporting a partner through perinatal mental health issues, wellbeing, etc, then we’d love to have you help support our peer support groups