Your Name (required)
Your Address (required)
Your Email (required)
Your Telephone (required)
Your Date of birth (required)
Your Nationality (required)
Do you require a permit to work in this country? (required)
Reference 1 Name (required)
Reference 1 Address (required)
Reference 1 Email (required)
Reference 1 Telephone (required)
How do you know this person? (required)
Reference 2 Name (required)
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Please tell us what interests you particularly about volunteering at Leeds Survivor-Led Crisis Service?
We work with callers in a trauma-informed way which means working creatively to build up trust with callers who may communicate in many different ways with us to express their crisis. Tell us what personal qualities or experience you would be bringing to the role to build these relationships with callers.
We offer a very supportive and rewarding volunteering experience. In return, we are seeking volunteers who are willing to offer their time and also to work on their practice and take on board any feedback offered. How do you feel about receiving feedback on your work, and can you tell us about a time you have taken on board some challenging feedback?
Please give details below of any convictions for Criminal Offences including spent convictions under the Rehabilitation of Offenders Act 1974. We are not able to accept people who have Schedule 1 offences. All volunteers are required to complete a Criminal Records Check before volunteering can take place.
This information is for monitoring purposes only and will not be kept with your file. It allows us to check that we are reaching a diverse range of communities in Leeds.
What is your gender?
---MaleFemaleNon-binaryOther, please specify belowPrefer not to say
Do you identify as transgender?
YesNoPrefer not to say
Which age group do you belong to?
---18-2526-3536-4546-5556-6566+Prefer not to say
How would you describe your ethnic origin?
---White BritishWhite EuropeanWhite otherBlack CaribbeanBlack AfricanBlack otherIndianPakistaniMixed raceOther, please specify belowPrefer not to say
How would you describe your sexuality?
---HeterosexualGayLesbianBisexualOther, please specify belowPrefer not to say
Would you describe yourself as having a disability?
If you answered yes, how would you describe your disability?
---Physical healthEmotional/mental healthOther, please specify belowPrefer not to say
Which best describes your employment status?
---Full-time workPart-time workFull-time parentUnemployedRetiredStudentOther, please specifyPrefer not to say
Would you describe yourself as a carer?
---Yes – of someone with physical health problemsYes – of someone with emotional/mental health problemsYes – of someone with both physical and emotional/mental health problemsYes – of someone with other needsNoPrefer not to say
Finally, how did you hear of this service?
---Big IssueYorkshire Evening PostLeeds City Council vacanciesOther, please specifyPrefer not to say
Prove you're human.. please answer the following question
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Dial House, 12 Chapel Street
Halton, Leeds LS15 7RW
0113 260 9328