Driver Application Form - Gillingham Car Link

Gillingham Area Voluntary Car Link Scheme Registered charity number 1138732

Volunteer Driver Application Form

Thank you for your interest. The information you give is understood to be confidential, will be kept secure for internal Gillingham Area Car Link purposes only and will not be revealed to any other person or organisation.

Your name

Address

Post Code

Date of Birth

Your Email

Telephone Number

__________________________________________________________________________________________________

Valid Current Driving Licence

How long held?

It is our policy for volunteer drivers to be aged over 25 years with a minimum of five years driving experience.

Car Owner? Make of Car

Vehicle Type4 wheel drivefamily carsmall carother

Number of Doors

Registration Number

__________________________________________________________________________________________________

Equal Opportunities: We welcome all volunteers for the skills they could bring to GACL. Please give details of any health conditions, issues or disabilities which could be relevant as a volunteer driver:

An enhanced Disclosure and Barring (DBS) check will be required for volunteer driving and you will be notified of the arrangements for this at a later date.

yesno

If you have ticked yes, summarise details below. Having a conviction will not necessarily stop you from volunteering, but will need to be taken into consideration when assessing your suitability.

If accepted, when can you be available to drive?
Monday
MorningAfternoonEveningAnytime

Tuesday
MorningAfternoonEveningAnytime

Wednesday
MorningAfternoonEveningAnytime

Thursday
MorningAfternoonEveningAnytime

Friday
MorningAfternoonEveningAnytime

Saturday
MorningAfternoonEveningAnytime

Sunday
MorningAfternoonEveningAnytime

__________________________________________________________________________________________________

Brief history of employment and interests

Why you are interested in driving for GACL, how did you hear about us?

How it will fit in with existing commitments

Do you have any special skills eg employment experience and/or work with other voluntary organisations? First aid certificate?

__________________________________________________________________________________________________

Please give the names and addresses of two referees who are not members of your family:

Person 1
Address
Email
How do you know this person?
How long for?

Person 2
Address
Email
How do you know this person?
How long for?

__________________________________________________________________________________________________

Contact in case of an emergency:

Name
Address
Telephone Number
Relationship

__________________________________________________________________________________________________

Notes:
(1) We will require two passport size photographs, one for your identity badge and one for your file with GACL.
(2) We will require sight of both parts of your driving licence, certificate of motor insurance and if applicable, MOT certificate.

__________________________________________________________________________________________________

Declaration:
I declare that, to the best of my knowledge and belief, all my statements given in this application are correct. I understand that any offer of volunteering is subject to
satisfactory references.

I agree