Volunteer Application Form

Do you have a disability? *

If yes, what support can we offer you in order to help you volunteer?

Have you suffered bereavement within the last 2 years? *

Which opportunity are you applying for? *

Tell us your relevant experience *

Do you have previous experience working with children, illness or bereavement or in the voluntary sector? *

Tell us about yourself! Skills – interests – hobbies ... *

What motivated you to volunteer with Simon Says? *

Which area(s) of volunteering are of interest? (please tick all that apply)

Support Groups (children up to 11yrs)

Young People Support Groups (young people 11yrs-18yrs)

Presentations to Educational Settings/Health Professionals

Telephone Helpline

Fundraising

Administration

When are you free to volunteer? (please tick all that apply)

Weekdays

Weekends

Evenings

Flexible

How did you hear about Simon Says? *

Declaration of Criminal Record

As a charity for children we have a duty to protect the children and young people that we work with. Therefore all paid and unpaid roles are exempt from the Rehabilitation of Offenders Act 1974. All convictions both spent and unspent, must be disclosed. A criminal record does not deny people the chance to volunteer with Simon Says, except in the case of offences against children or withheld information on any offence.

Have you ever been convicted of a criminal offence, cautioned, reprimanded or given a final warning by the police, or do you have any court cases pending? *

If YES, please give details below with dates of offences, sentences, cautions, reprimands, final warnings and court cases pending:

Is there anything else of this nature that you feel we would want to know, or that you ought to tell us about?

References

Please provide details of two people who would be prepared to provide a reference (excluding family members) who know you well. If you have worked in the past 5 years, at least one reference should be from your last employer.

Referee 1

Name *

Job Title *

Address *

Phone *

Email *

How long have you known this person? *

In what capacity? *

Referee 2

Name *

Job Title *

Address *

Phone *

Email *

How long have you known this person? *

In what capacity? *

Volunteer Guidelines

Our Mission Statement

To ensure that the carer of any bereaved child or young person in Hampshire is aware of Simon Says and the services it provides.

Simon Says Supporting the young through bereavement

Simon Says will support you by:

Providing training and support.
Inviting you to various events.
Offering quarterly training sessions with fellow volunteers
Reimbursement of agreed expenses
Providing you with adequate insurance cover for voluntary work approved and authorised by Simon Says
Offering support when you need it!

Simon Says requests that volunteers:

Continually act in the charity’s best interests
Attend training regularly
Ensure confidentiality at all times
Keep within boundaries of the charity support network
Offering information and resources which Simon Says has approved.
Commit to volunteer for an agreed time and provide as much notice of availability.
Follow the process required by Simon Says when reporting all information of calls.

By submitting this from you confirm that you have read, understood and agreed to the volunteer guidelines.

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Bereavement support for young people

Get Support

Call our Helpline for support

023 8064 7550

Keep in touch

Newsletter sign up

Contact

1 The Old Carthouses
Broadlands Park, Romsey
Hampshire SO51 9LQ

info@simonsays.org.uk

01794 323934

Socials

Celebrating 25 Years of Giving Grief a Voice in Hampshire

Supporting Children to Grow Around their Grief with Hope

For 25 years, Simon Says has been here for children and young people across Hampshire who have had someone close to them die, helping them to understand their grief, talk openly, and begin to grow around their grief with hope. This anniversary year is a chance to honour that legacy, raise awareness and build a sustainable future for the next generation.

We’d love for you to get involved!

Click here to find out more

Child Bereavement Support

Supporting young people who have a significant person in their life who has died or is dying.