Application for Counselling Volunteering

Please complete this form to apply for a counselling volunteering position. All sections must be completed - incomplete applications cannot be considered.

Personal Details

Surname

First Names

Title (Mr, Ms, etc.)

Date of Birth

Address

Postcode

Telephone (Home)

Telephone (Work)

Mobile

Ethnicity

Additional Information

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?

Where/how did you find out about this opportunity?

Availability

How much time are you able to offer the Moving on Project?

Day	Morning	Afternoon
Monday
Tuesday
Wednesday
Thursday
Friday

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.

Employment History

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

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.

References

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

Reference One

Reference 1 - Name

Reference 1 - Relationship

Reference 1 - Address

Reference 1 - Postcode

Reference 1 - Telephone

Reference 1 - Email

Reference Two

Reference 2 - Name

Reference 2 - Relationship

Reference 2 - Address

Reference 2 - Postcode

Reference 2 - Telephone

Reference 2 - Email

Miscellaneous

Do you hold a full U.K. driving licence?

Do you own a car?

Declaration - Please Read Carefully

Personal Declarations

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)?

I understand that my acceptance as a Volunteer would depend upon the completion of a satisfactory enhanced DBS Disclosure.

I understand that my acceptance as a Volunteer would depend upon the Moving on Project receiving TWO satisfactory references.

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.

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.

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.

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?