fbpx Volunteer Application Form

Volunteer Application Form

Volunteer Application Form

* indicates required fields


Personal Information

Your Name*
Date of Birth*
If you do not have an email address, please tick this box
Address*
Eye conditions*
Are you blind or have a diagnosed eye condition? If yes, please tick an appropriate box

Emergency Contact

Please provide the following details for Sightline to contact somebody in the case of an emergency.
Name*

Communication Preferences

Offences

Have you ever been found guilty of an offence by any court?*
Please select Yes or No. If you answer yes, we will ask you for more information

Interests and Experiences

Reference

Visually Impaired people living alone are especially vulnerable and it is Sightline’s policy that volunteers should give the name and address of one person to whom they are well known (not a family member or someone you live with) and who can be contacted for a reference. Do please obtain their consent for our enquiry.

Referee

Name*
Address*
Consent*

Equal Opportunity Monitoring Form

We aim to be an equal opportunities organisation, and our policy is that everybody receives equal treatment regardless of sex, race, disability, sexual orientation, religion or belief, age, marital or civil partnership status, pregnancy/maternity or gender reassignment, where any of these cannot be shown to be a requirement for being a Service User and/or Volunteer. To assist us in monitoring the operation of our equal opportunity policy, and for no other reason, please answer the following questions.
Gender: Which of the following best describes your gender?
Gender Identity: Do you identify as trans?
Gender: Is the gender you identify with the same as your gender registered at birth?
Age
Ethnicity: What is your ethnicity?
Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate box:
Disability: Do you consider yourself to have a disability or health condition?
Sexual Orientation: Which of the following best describes your sexual orientation?
Religion and belief: Which of the following best describes your religion and belief?
This field is for validation purposes and should be left unchanged.

Our Funding Partners