Do write down your username and password so that you don't forget them!

Now we need some personal details. We will hold them on our database and not pass these on to any other organization. Should you wish your details to be removed, contact us, and we shall delete them once the Night Shelter season has ended (in April). Please note that the reason for asking your gender is so that we can ensure that there is at least one woman and one man on each shift. This ensures that there will always be at least one volunteer who is the same gender as any specific guest. Similarly, if we know the year in which you were born we can try and avoid volunteer teams which consist entirely of young (or retired) volunteers.

First name and Surname Gender FemaleMale Born in the year

Email address
Land line telephone number Mobile telephone number

Address

Which do you prefer to be contacted by? NoneEmailPhoneLetterVia your ChurchMobile

Your Church
Wycombe's Winter Night Shelter was originally set up by a group of local churches working together. You do not need to belong to a church to take part, however if you do belong to a church, it is helpful for us to know which one. In this way we can keep your church informed regarding the Shelter. Some of your friends there might want to get involved too! Please select the name of your church from the list below. If you don't belong to a church, or you do not want to answer this question, please choose the appropriate option. If your church is not listed, choose the "not listed" option, and key in the name and town of your church in the box on the right.

I don't belong to a church I prefer not to say My church isn't on this list All Saints', High Wycombe All Saints', Marlow Betel, Birmingham Christ Church, Holmer Green & Holy Trinity, Penn St Community Church, Bourne End Contemplative Fire Cores End URC, Bourne End Downley Methodist Holmer Green Baptist Holmer Green Methodist Holy Trinity, Cookham Holy Trinity, Hazlemere (Connect) Holy Trinity, Hazlemere (Good Shepherd) Holy Trinity, Hazlemere (Manor Farm) Holy Trinity, Hazlemere (Parish Church) Hughenden Valley Immaculate Heart of Mary RC, Gt Missenden Jubilee Road Mosque King's Church, High Wycombe Little Kingshill Baptist Marlow Methodist Micklefield 7th Day Adventist New Testament Church Of God, High Wycombe North Thames Vineyard Oakridge Baptist Church Pastures Free Methodist, Downley, High Wycombe Princes Risborough Baptist Quakers, Amersham Quakers, Aylesbury Quakers, Chorleywood Quakers, High Wycombe Salvation Army, High Wycombe Sands 7th Day Adventist Seer Green Baptist Smethwick Baptist Speen Baptist St James, Gerards Cross St Paul's, Wooburn Green St Peter & St Paul, Great Missenden St Peter's &St. Paul's, Stokenchurch St. Andrew's, Hatters Lane, High Wycombe St. Augustine's R.C., High Wycombe St. Birinus & St. John, High Wycombe St. Edmund Campion, Hazlemere St. Mary's and St. George's, Rutland Ave. St. Peter's, Loudwater The Avenue Methodist Trinity Baptist Church, Bexleyheath, London Trinity URC, High Wycombe Tylers Green Methodist Union Baptist, High Wycombe Wesley Methodist, High Wycombe

Referees
Given the nature of the work, unless you have served with the Wycombe Winter Night Shelter as a volunteer before, we need the names and emails (or addresses) of two people who could give us a reference. If you were a volunteer last year, simply give the name of your Venue Co-ordinator or Shift Leader and the Venue at which you served as your first and only referee (e.g. "Alan Clouston at the HUB").

First Referee Name: Email: Phone: Relationship to You: (not a family member, please) Second Referee Name: Email: Phone: Relationship to You: (not a family member, please)

What kind of work would you like to be involved with? Choose as many options as you wish from the following list.
Volunteer at the ShelterCook at the ShelterLaundry done at home
PublicityFund RaisingPraying for the Shelter
Administrative HelpI would be interested in mentoring a homeless guest.

CRB Checks
If you end up volunteering as an assistant at the Shelter, you will need a valid, enhanced CRB check for working with vulnerable adults. If you don't have one, we can obtain one for you.

Do you have a valid, enhanced CRB check for working with vulnerable adults? NoYes

If so, who did it?
and when was it done (please give the date in the format DD/MM/YYYY, so that the 25th of December 2005 becomes 25/12/2005)

First Aid
First Aid training is not required for all volunteers However, if you are trained, it is useful for us to know about it. If you want to be trained in First Aid, we can arrange it.

Do you have a valid, First Aid qualification? NoYes

If so, give the title of the certificate you hold?
and when does it expire (please give the date in the format DD/MM/YYYY, so that the 25th of December 2009 becomes 25/12/2009)

Previous relevant experience
Many of our volunteers are completely new to this kind of work. If you have previous experience, please describe it below. You might include aspects of your professional training or work, or details of previous voluntary work if they are relevant. If you have relevant qualifications (other than CRB, First Aid or Food Hygeine certificates) please mention them too.