Agency Contact Form

Agency Contact Form
You can fill in this contact form & send it here,
Download a Word version to print out and send;
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Or you can request more details by going to the contact section of the website.

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It takes about 10 minutes to fill out.

Your Organisation


Organisation Name	Charity Number

Number
Street
Town
Postcode
Telephone
Fax


First Name	Surname	Job Title

Are you allready registered with the K&C Volunteer Centre, and want to promote a new role? Yes No

Useful Information

How accessible is your venue?*

Disabled Toilet	Lift	Ramp	Wheelchair Accessible
Induction Loop	Minicom	Creche

*Please answer this question in terms of your vacancy venue

Can you support voilunteers with:
Disabilities Yes No*
Learning Issues? Yes No*
Mental Health Issues? Yes No*
*Would you like to speak to our Supported Needs Coordinator? Yes No

Do you have an equal opportunities policy? Yes No*
*Would you like advice about formulating one? Yes No

Will your volunteers be covered under your organisations insurance? Yes No*
*Volunteers must be insured. Would you like further information about cover? Yes No

What expenses will you reimburse?
Travel Yes No*
Lunch Yes No*
Equipment/Tools Yes No*
*Would you would like information or advice on fundraising for expenses? Yes No

What is the minimum age for volunteers?
16* 18 21 Other
*Check your insurance (if appropriate) to ensure this age group and below are covered by it
Do you Police Check volunteers for this role?* Yes No
*Please note: The Volunteer Centre asks all potential volunteers to disclose previous convictions, cautions and bind-overs
(spent or otherwise). We do not Police Check.

Please check that all the information is correct, then go to the next page...