Full Name

Email Address

Contact Number

Volunteering Area
—Please choose an option—Courses/EventsBirmingham HomelessCoventry HomelessWalsall HomelessSheffield HomelessLiverpool HomelessLeicester HomelessBristol HomelessFoodbankNew RootsYouthDawahFundraisingOther

If other, please specify

Next of Kin Details

Full Name

Relationship to you

Telephone Number

Email address

Address

Have you got any allergies? If yes, please state.

Disclosure & Barring Service Checks

Due to the work As-Suffa Trust undertakes and the work it may require its volunteers to undertake, we require new applicants to complete and sign the following Personal Declaration. Please use the space provided below to disclose any information regarding any criminal convictions spent or currently pending, or if you are on any barred children or adult list. This includes any serious driving offences. Please state the nature of the offence, dates and sentences (if appropriate)

By submitting this application, I confirm that the information set forth in this form is true, complete and currently to the best of my knowledge. I understand that if I am accepted as an volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate removal as an volunteer. I also agree to comply with the policies and procedures set out by As-Suffa Trust and that I can obtain a copy of these by requesting from info@as-suffa.org or from the As-Suffa Office. I also understand that by becoming an volunteer I am accepting that As Suffa Trust takes no liability for any loss of my possessions, injuries inflicted on me or loss of my life and I also affirm that if anyone else acting on my behalf does not or will not have my consent to hold As-Suffa Trust liable for any loss of my possessions, any injuries inflicted on me or loss of my life. I also consent to As-Suffa Trust keeping my personal data stored safely, in accordance to GDPR guidelines and As-Suffa Privacy Statement.

Privacy Policy
Thank you for completing this application form and for showing interest in volunteering for As-Suffa Trust. As-Suffa Institute will use this information to provide and enhance our services. We may use your contact details to send newsletters, messages about our activities, special offers, promotional announcements, surveys and other correspondence and marketing concerning our service. If you no longer want to receive certain communications from us via email, simply click the “unsubscribe” link at the bottom of the email and for mobile phone, text us “UNSUBSCRIBE”. As-Suffa Institute will not share your details with any third party. The information given on this form will be held in compliance with the Data Protection Act.