Adult Volunteers Registration Form – First Time

Your Personal Details

Title

Title(Required)

e.g. Mr, Mrs, Miss, Ms, Rev, Rt Rev, Fr, Mgr, Sr

First Name(Required)

Last Name(Required)

Date of Birth(Required)

Address

Street Address

Street Address Line 2

Town/City

County

Postcode

Country

Mobile Number

Email(Required)

Lourdes Experience

Will this be your first experience as a voluntary helper on the Diocesan Pilgrimage?(Required)

Yes

Please describe your previous experience of offering 'service' on the Diocesan Pilgrimage

Are you(Required)

Adult Helper

Student Nurse

Registered Nurse

Doctor

To allow smooth running of the pilgrimage, it would be helpful if you share with us what tasks you are willing/able to perform in Lourdes. Please tick all that apply:

Are you willing to do a nightshift?(Required)

Yes

Pilgrimage Preparation Days

Important Dates

New Volunteer Information Evening

Deadline for applications - 1st March 2026
Meet the Pilgrims/coffee afternoon - Sunday 19th April 14:00 - 16:00

Deadline for completion of on-line training Monday 28th April 2024

TRAINING DAY, HINSLEY HALL - Sunday 19th MAY 2026 09:30-16:00

Pre-Departure Mass - Saturday 6th June 12:00
Pilgrimage Dates - Friday 3rd July – Thursday 9th July 2026

Please confirm you will be able to attend the training day?(Required)

Yes

References

Please provide the names and addresses of two people who would be willing to provide a reference for you. Ideally, these will be people that have known you for at least 2 years e.g. current or previous employer, somebody from another volunteering role, friend, neighbour or tutor. Your Parish Priest, Deacon, members of your diocesan safeguarding team or family members cannot be used as referees. We will be contacting the people you detail below for the purpose of obtaining a reference for you, in respect of this specific role. You must seek permission from your referees, in advance of providing their contact details for the purpose of providing a reference. Please confirm below for each referee, that you have obtained their consent.

Referee 1

Title(Required)

e.g. Mr, Mrs, Miss, Ms, Rev, Rt Rev, Fr, Mgr, Sr

First Name(Required)

Last Name(Required)

Address

Address Line 1(Required)

Address Line 2

Town/City(Required)

Postcode(Required)

Email Address

How long has this person known you?(Required)

In what capacity?(Required)

I confirm that consent has been obtained from the referee, to provide their name and contact details, for the purpose of providing a reference for this specific role.(Required)

Yes

Referee 2

Title(Required)

e.g. Mr, Mrs, Miss, Ms, Rev, Rt Rev, Fr, Mgr, Sr

First Name(Required)

Last Name(Required)

Address

Address Line 1(Required)

Address Line 2

Town/City(Required)

Postcode(Required)

Email Address

How long has this person known you?(Required)

In what capacity?(Required)

I confirm that consent has been obtained from the referee, to provide their name and contact details, for the purpose of providing a reference for this specific role.(Required)

Yes

Consent and Keeping in Touch

Applicants who are not British citizens

You are only allowed to volunteer if your immigration status permits it, so please check that you are entitled to volunteer, to avoid breaching the terms of your status. You can find further information about different visa rules on this government webpage. Irish citizens, EU/EEA citizens with settled or pre-settled status, and refugees and asylum seekers are fully entitled to volunteer.

Are you permitted to volunteer in England and Wales?(Required)

Yes

I would like to receive information from the Diocese of Leeds by email to keep me informed about news, events, fundraising and activities related to the Lourdes Pilgrimage

Yes

Date

The information you have provided on this form will be stored securely and used by the Diocese of Leeds Pilgrimage Group and the Diocese of Leeds for the purposes of organising and facilitating the Lourdes Pilgrimage. We may share your information where necessary with Tangney Tours and the senior team leaders of the Diocesan Hospitalité.

Further details of how we process your data, and your rights, are included in the Diocesan Privacy Notice which can be accessed at https://www.dioceseofleeds.org.uk/privacy-notice/ or by request from dpo@dioceseofleeds.org.uk or on 0113 261 8031.

REHABILITATION OF OFFENDERS ACT 1974

If the role that you are seeking to volunteer for involves working with or has access to children or adults at risk, you may require a Disclosure and Barring Service check. If this is the case, the role description will state that the role is exempt from the Rehabilitation of Offenders Act. If you are seeking to volunteer for such a role, you are not entitled to withhold information even if you have convictions which would ordinarily be considered to be “spent”.

Before you take up a voluntary position with children or adults at risk you will be asked to disclose any previous, existing or pending convictions or cautions. This will be in addition to completing a Disclosure and Barring Service check. Possession of a conviction or caution will not necessarily mean that you will not be able to volunteer. Each case will be considered individually.

If you fail to disclose any criminal convictions or cautions, including those “spent”, it could result in you not being able to volunteer.

PRIVACY STATEMENT

The information that you provide on this form will be processed in accordance with the UK General Data Protection Regulation, the Data Protection Act 2018 and our Privacy Notice which is attached. This form will be held securely, confidentially, will not be shared with third parties and will be retained in accordance with our record retention schedule.

DECLARATION

I understand that providing misleading or false information may disqualify me from volunteering.

Signature

Date