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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