VOLUNTEER APPLICATION FORM

POSITION APPLIED FOR: Volunteer - French Speaker

How did you learn about this Indeed.com

vacancy?
Where was it advertised?
PERSONAL DETAILS
Mr
TITLE :
Mamoudou
FIRST NAME(S):
Diallo
LAST NAME:
KNOWN AS (IF DIFFERENT FROM
ABOVE):
Dakar, Senegal
Rue 43, Medina
ADDRESS:

5571
POSTCODE:
HOME TELEPHONE
(INCLUDING STD CODE):
+221770370827
MOBILE:
Mainway88@gmail.com
EMAIL:

EMERGENCY CONTACT DETAILS

Mamadou Diallo/ Moussa DIALLO
CONTACT - FULL NAME:
Brothers
RELATIONSHIP:
+221779671043/779122884
CONTACT TELEPHONE:
+221779671043/779122884
CONTACT MOBILE:
 APPLICATION INFORMATION

 As and when necessary

PLEASE INDICATE YOUR
AVAILABILITY:

Any amount of time you give is

valuable to us

PM  Evening

 Reading and/or scribing for exams

PLEASE INDICATE YOUR
PREFERRED AREA OF  Music
VOLUNTEERING:
 One to one student support / Sighted Guide
 APPLICATION INFORMATION CONTINUED
EXPERIENCE, LEARNING &
SKILLS:
Please provide details of any
experience, learning and skills you
can bring to RNC:
INFORMATION TO SUPPORT
YOUR APPLICATION:
Please state briefly why you wish to
become a volunteer at RNC.
Please continue on a separate
sheet if you wish.
-helping learners to speak correctly by doing more
speaking activities like get togethers groups
-supporting the less skilled student by giving them
extra time
-by doing writting essays
-by organising contests in order to increase the
interest of student in french language
I am qualified to teach french and love doing
it.Sharing my teaching skills may improve the
speaking level of student. The fact of being
volunteer at RNC will give me more experience.
Therefore the wish to help those people who are in
need is the most important fact that push me to
apply.
 ADDITIONAL INFORMATION

TRANSPORT:
Do you drive and do you have a car
available for volunteering purposes?
 NO
REQUIREMENTS:
Do you have any requirements that
we need to be aware of? For  YES
example you may need
communication support such as an
interpreter or palantypist, large print,
ramp access or regular breaks.

This will not affect your volunteering

with us, but will enable us to make
sure everything is right for you in
advance.
CRIMINAL CONVICTIONS
Do you have a criminal record?  NO
You are not required at this stage to
disclose any spent convictions.
However, all successful volunteers
will be subject to an Enhanced
Disclosure from the Disclosure and
Barring Service, which will include
details of cautions, reprimands or
warnings as well as convictions and
non-conviction information. Any
volunteering appointment will be
dependent upon a satisfactory
outcome, although having a criminal
record will not necessarily bar you
from volunteering with us.

RELATIVES:
 NO
Are you related in any way to an
existing employee or Governor of Details:
RNC?

This is to ensure that the individuals

involved are protected from
allegations of bias or conflict of
interest during the selection process
or subsequent appointment.
 REFERENCES
All appointments are subject to receipt of satisfactory references. Please give details of two
people who we can approach for references.
If you have worked in the past five years, at least one reference should be obtained from your
last employer.
Both referees will be contacted prior to your appointment as a volunteer unless otherwise
requested. If you have just completed full-time education, the details of the Head/Principal
and/or Tutor should be provided.
If you have neither worked nor studied recently, please provide two independent character
referees outside your family, and not normally RNC employees.
We may take up more than two references.
REFEREE ONE

NAME: Daouda Diallo

EMAIL: (Preferred method of contact)

Dakar, Medina
FULL ADDRESS AND
POSTCODE:

+221776838087
TELEPHONE NUMBER
CAPACITY IN WHICH YOU KNOW Room mate at campus university
THIS REFEREE:

ADDITIONAL INFORMATION:

REFEREE TWO

NAME:

EMAIL: (Preferred method of contact)

FULL ADDRESS AND

POSTCODE:

TELEPHONE NUMBER

CAPACITY IN WHICH YOU KNOW

THIS REFEREE:

ADDITIONAL INFORMATION:

PLEASE RETURN THIS FORM TO

HUMAN RESOURCES, RNC, VENNS LANE, HEREFORD HR1 1DT
or email to hr@rnc.ac.uk
Diversity Monitoring Form
     
As an equal opportunities employer the Royal National College for the Blind welcomes
applications from people in every part of the community. We are committed to promoting a diverse
workforce and to active policies which eliminate unfair discrimination.

Your responses to the questions below will provide statistical information which we can use in
order to ensure our policies are being properly implemented and that our services are accessible
to all.
Your responses will be treated and held in strict confidence and will not be used to identify you.
The information you provide will not affect your application, and your responses will not be known
by the selection panel. This form will be separated from your application.

Data Protection Act 1998

The data collected in this form will only be used for the purpose of statistical monitoring. This
information will only be retained for as long as is considered necessary for monitoring purposes
and then it will be securely destroyed. At all times it will be kept in accordance with this Act.

We thank you for your co-operation in completing this form.

Job details
Post applied for: Volunteer - French Speaker

Where did you hear about this vacancy?     indeed.com 

Gender (please cross one box only):

Male Female Prefer not to say
     x            
Is your gender the gender you were assigned at birth (please cross one box
only):
Yes No Prefer not to say
     x            

Age (please cross one box only):

Under 25 25 – 34 35 – 44 45 – 54 55 – 64 65+
           x                        

Disability
Definition of disability: the Disability Discrimination Act defines a disability as a
physical or mental impairment which has a substantial and long-term adverse effect
on your ability to carry out normal day-to-day activities.
Do you consider yourself to have a disability (please cross one box only):
Yes x Prefer not to say
                 
If yes, please indicate the nature of the disability (please cross all boxes that
apply):
Visual impairment      
Physical impairment      
Hearing impairment      
Learning disability or difficulty      
Mental health condition      
Chronic long-term illness (e.g. MS,      
cancer)
Other (please specify)      

Ethnicity (please cross one box only):

White – British      
White – Irish      
White – other European      
White – other      
Asian or Asian British – Bangladeshi      
Asian or Asian British – Indian      
Asian or Asian British – Pakistani      
Asian or Asian British – other      
Black or Black British – Caribbean      
Black or Black British – African     x 
Black or Black British – Other      
Mixed – White and Asian      
Mixed – White and Black African      
Mixed – White and Black Caribbean      
Chinese      
Other (please specify)      
Prefer not to say      

Sexuality
Which term would best describe your sexuality? (Please cross one box only)
Lesbian Gay Bi-sexual Heterosexual Prefer not to say
                       x      

Religion or belief (please cross one box only):

Atheism       Jainism      
Buddhism       Judaism      
Christianity       Sikhism      
Hinduism       Other      
Islam   x    Prefer not to say      

PLEASE RETURN THIS FORM TO

HUMAN RESOURCES, RNC, VENNS LANE, HEREFORD HR1 1DT
or email to hr@rnc.ac.uk