GV and Checks

Personal Details

First Name

Last Name

Next of Kin Contact Information (Include name and phone number)(Required)

Reference Checks

Please provide names, contact addresses and phone numbers for two people who will provide references. Referees should not be family members or both from the same organisation/employment. Please advise referees that they will be contacted by the ALONE office. This is standard procedure for all new volunteers.

Name of First Referee 1(Required)

Address Line 1(Required)

Tel No 1(Required)

Your relationship to this person? 1(Required)

Name of Second Referee 2(Required)

Address Line 2(Required)

Tel No 2(Required)

Your relationship to this person? 2(Required)

Supporting Documentation In this section, you can upload a passport style headshot for your ALONE Volunteer ID Badge. (this is only applicable to Visitation Support & Befriending volunteers). You also have the option to upload a written reference in this section. If you cannot upload a copy of the information below, you can submit them via email to the relevant Volunteer Support Officer, or send in the form of a hard copy to Front Office for the attention of the relevant Volunteer Support Officer.

Recent photo to be used for your ID card (Only to be submitted by Visitation Support & Befriending Volunteers)

Max. file size: 64 MB.

Written reference (optional)

Max. file size: 64 MB.

Prior to Garda Vetting, do you have a criminal conviction?(Required)

If yes, please disclose

If you applied for Visitation role would you be comfortable with sharing your Garda Vetting (GV) information with a Nursing Home if the older person you are visiting relocates there?

I acknowledge that ALONE have informed me of the ALONE Privacy Notice. I also acknowledge understanding of and confirm my agreement with the ‘Volunteer Agreement’ and 'Volunteer Code of Conduct' by marking this box:(Required)

I agree

I do not agree

Date application submitted(Required)