Application for Counselling Volunteering

Please complete this form in type or black ink and return to info@the-mop.org

Or post to: Moving on Project, 163 West Street, Fareham, PO16 0EF

Personal Details

Please ensure you fill out every section - incomplete applications cannot be considered.

Ethnicity

Would you describe your ethnicity as:

Additional Information

No Yes* If yes* please give details
Do you have a disability?
Are you currently in employment?
Are you currently a full or part time student?
Are you currently volunteering anywhere else?
Mon Tues Wed Thurs Fri
Morning
Afternoon

Training Relevant to Your Application

Please outline what course you are on and where you are studying. We are able to consider applicants qualified to Diploma or degree level, or at a minimum in the second year of their Diploma. Please contact the Counselling Manager for further information.

School / College / University Subjects Studied Qualification & Grade Dates (From/To)
 
 
 
 
 
 

Employment History

Please include all paid employment and account for any periods with no paid employment e.g. voluntary work, travelling, training, family commitments.

Employment, Volunteering, Travelling, Training, Family... Dates (From / To)
 
 
 
 
 
 
 
 

Experience with Children and/or Young People

Please give details (paid/unpaid) of any previous experience working with children and/or young people. Include details of any training courses attended (i.e. First Aid, computer...), voluntary work undertaken.

(Continue on a separate sheet if necessary).

References

The Moving on Project is an organisation that adopts a safer recruitment process in order to safeguard the children and young people who use our service.

Please give contact details for two referees, one of which ideally should know / have known you in an official capacity (i.e. employer, tutor...).

Please ensure none of the referees resides at the same address as you, are related to you or are personal friends. You may wish to ask a tutor or clinical supervisor to supply a reference.

Referees must live within the United Kingdom and must have known you for at least 2 years.

Reference One

Reference Two

Miscellaneous

Yes / No
Yes / No

Declaration - Please Read Carefully

Personal Declarations

The position for which you are applying involves contact with children. Do you have any convictions, cautions, reprimands or final warnings that are not "protected" as defined by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended in 2013)?
Yes / No

If yes, please give details on a separate sheet and attach it to this form in a sealed envelope marked "Confidential Disclosure".

I understand that my acceptance as a Volunteer would depend upon the completion of a satisfactory enhanced DBS Disclosure.
Yes / No
I understand that my acceptance as a Volunteer would depend upon the Moving on Project receiving TWO satisfactory references.
Yes / No
For the purposes of the Data Protection Act 2025, I consent to the information contained in this form, and any information received by or on behalf of the Moving on Project relating to the subject matter of this form, being processed by them in administering the recruitment process.
Yes / No
I declare that the information I have given on this form is complete and accurate and that I am not barred or disqualified from working with children nor subject to any sanctions or conditions on my employment imposed by the Independent Safeguarding Authority, the Secretary of State or a regulatory body.
Yes / No
I understand that to knowingly give false information, or to omit any relevant information, could result in the withdrawal of any offer of a voluntary role and possible criminal prosecution.
Yes / No

I certify that the information given above is to the best of my knowledge correct, and if I am appointed, personal information about me may be computerised for Personnel/employee administration purposes including analysis for management purposes and statutory returns.

All candidates applying for volunteering via email will be required to sign and date this form if invited to attend interview.

Volunteering for the Moving on Project - Personal Statement

Tell us your reasons for wanting to be a counsellor, and why you are interested in counselling young people at the Moving on Project. Tell us about your experiences of personal therapy - have you had any? Are you still having it? How long have you been in therapy?

What do you think you can offer the Moving on Project? What do you think the Moving on Project can offer you? What are your interests and/or hobbies?

Please tell us as much about yourself and your reasons for wanting to get involved.

(Continue on a separate sheet if necessary).

Please ensure you have included your personal statement.

Please return your completed application form to info@the-mop.org