Home-Start BarnetVolunteer Impact Management System (VIMS) Monitoring Form (to be completed with Volunteer Application Form)

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

The information you give in this form will not be used for volunteer selection purposes. It is for diversity monitoring. This helps us to monitor the diversity of our team of volunteers, for example in comparison with the families we support and the local community we work within.

Date of birth: _________________

Asian or Asian BritishBlack or Black British White

Indian Caribbean   British  

Pakistani African   Irish  

Bangladeshi

Any other Asian background Please specify

Any other Black background Please specify

Any other white background Please specify

   

Chinese or other ethnic group   Mixed  

Chinese   Any mixed background   Please specify

Other   

Immigration Status Are you a British   Do you have the right    

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Home-Start BarnetVolunteer Impact Management System (VIMS) Monitoring Form (to be completed with Volunteer Application Form)

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

Citizen/national of European Economic area? Y/N

of residence in the UK? Y/N

Are you an asylum seeker? Y/N

Gender Sexual Orientation

Male  Heterosexual

 

Female  Lesbian

 

Transgender  Gay

 Bi-sexual

 

Disability

Prefer not to say

Do you consider yourself to have a disability? Y/N

 Please specify    

Religious Beliefs Please specify    

Housing (please tick all that apply)

Privately Owned Privately Rented Social Housing

Temporary Housing (e.g. B&B, Refuge)

Other (please specify)

Transport (please tick all that apply)

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Home-Start BarnetVolunteer Impact Management System (VIMS) Monitoring Form (to be completed with Volunteer Application Form)

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

Car owner Access to a car On public transport route

Not on public transport route

Other (please specify)

What is your current employment situation? (please tick all that apply)Working Full TimeWorking Part TimeSeeking WorkRetiredStudentNot seeking work

How did you hear of Home-Start? (please tick all that apply)

a) Internet

b) Newspaper advert

c) Local radio

d) Word of mouth: e.g. another volunteer, a friend

e) Leaflet through letterbox

f) A story in a paper/magazine

g) Received support as a Home-Start family

h) Local voluntary organisation

i) Home-Start newsletter

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Home-Start BarnetVolunteer Impact Management System (VIMS) Monitoring Form (to be completed with Volunteer Application Form)

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

j) Previous Home-Start experience

k) Other, please specify ..............................................................

What are your reasons for volunteering for Home-Start? (please tick all that apply)

a) To gain new skills/experiences in order to find employment

b) To gain new skills/experiences in order to change employment

c) To access training opportunities

d) For the opportunity to give something back

e) To be involved in the community

f) For the opportunity to work with children and families

g) Due to empathy with difficulties of family life

h) Received support as a Home-Start family yourself

i) Student placement

j) Other, please specify ………………………..…………………………..

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