Thank you for your interest in volunteering with Community Connections Transport, which provides a lifeline to many isolated residents who are unable to travel independently. It would simply not be possible without the dedication of volunteers like yourself!

Please complete the application form below (you will need to be aged 18+ to apply) and someone from our team will be in touch with you shortly. You can also read and download a full role description of both available roles by clicking on the following links:

Role Description – Own Car Driver

Role Description – Travel Companion

If neither of the roles above fit with how you would like to support us, please fill out our general volunteer form to let us know how else you’d like to be involved.

WHAT ROLE WOULD YOU LIKE TO APPLY FOR?

Please select one or both options below to let us know below which transport role you are interested in. To read and download the full role descriptions for the ‘Own Car Driver’ and ‘Travel Companion’ roles please use the links above.

I would like to volunteer for the following: *

• OWN CAR DRIVER (driving our service users in your own car)
• TRAVEL COMPANION (accompanying service users on public transport)

YOUR DETAILS:

Name *

First

Last

Date of birth *

Please enter as DD/MM/YYYY (you will need to be aged 18 or over to apply)

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Gender *

• Male
• Female
• Non-binary
• Prefer not to say

Ethnicity *Arab or Arab BritishAsian or Asian British – BangladeshiAsian or Asian British – ChineseAsian or Asian British – IndianAsian or Asian British – PakistaniAsian or Asian British – Other Asian backgroundBlack or Black British – AfricanBlack or Black British – CaribbeanBlack or Black British – Other Black backgroundLatin American or Latin American BritishMixed – White and AsianMixed – White and Black AfricanMixed – White and Black CaribbeanMixed – Any Other Mixed BackgroundWhite – English/Welsh/Scottish/Irish/BritishWhite – Any other white backgroundPrefer not to sayOther (please specify below)

Please select one from the drop-down list above

If you selected 'Other' for your ethnicity please tell us your ethnicity here

Phone *

Email

Your Next of Kin

Please provide us with a name and contact details for your NOK, as well as stating their relationship to you (e.g. spouse, parent)

WHAT YOU CAN BRING TO THIS VOLUNTEER ROLE

What interests you about this role(s)? *

What days/times are you available to volunteer? (please select one or more of the following): *

• MONDAY – Morning
• MONDAY – Afternoon
• MONDAY – Evening
• TUESDAY – Morning
• TUESDAY – Afternoon
• TUESDAY – Evening
• WEDNESDAY – Morning
• WEDNESDAY – Afternoon
• WEDNESDAY – Evening
• THURSDAY – Morning
• THURSDAY – Afternoon
• THURSDAY – Evening
• FRIDAY – Morning
• FRIDAY – Afternoon
• FRIDAY – Evening
• SATURDAY – Morning
• SATURDAY – Afternoon
• SUNDAY – Morning
• SUNDAY – Afternoon
• ALL DAYS & TIMES

PLEASE NOTE: We use this information in order to match you with our service users and the regular journeys they need. We will therefore contact you about journey requests during any time slots you select.

Languages spoken

Are you able to lift? *

• Yes
• No

Are you able to transport someone in a wheelchair? *

• Yes
• No

INFORMATION ABOUT YOUR VEHICLE

Please tell us about your vehicle below (you do not need to complete this section if you are applying for the Travel Companion role only)

Have you held a clean driving license for at least three years?

• Yes
• No

If no, please give further information

Make and model of your car

How many passengers can you car transport?

Car type

• Small/Compact
• Estate
• SUV/People Carrier

Fuel type

• Petrol
• Diesel
• Hybrid
• Electric

Name of insurance company

Does your insurance cover you to use your vehicle as a volunteer?

• Yes
• No

Do you hold a Disabled Blue Badge?

• Yes
• No

Can you carry a fold up wheelchair in your car?

• Yes
• No

Would you be happy to transport an assistance dog?

• Yes
• No

REFERENCES

Please provide the names and addresses of 2 referees, and tell us in what capacity you know them (at least one person should be of professional standing and NOT a family member). *If your circumstances mean that you can only provide 1 referee, or none at all, please still apply we will be happy to discuss this further with you.

1st referee name *

First

Last

1st referee address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

1st referee phone number *

1st referee Email

Relationship of 1st referee to you *

2nd referee name

First

Last

2nd referee address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

2nd referee phone number

2nd referee Email

Relationship of 2nd referee to you

Disclosure and Barring Service Checks

Depending on the nature of the voluntary work, you may be asked to undertake a Disclosure and Barring Service check. However, any information you disclose or we discover will not necessarily preclude you from volunteering.

CONSENT

Please complete the boxes below to confirm you give consent to process your application:

I consent to Age UK Lewisham and Southwark holding the above information about me and sharing my name and relevant information with clients. *

• Yes
• No

Date *

DD/MM/YYYY

Signature *

Clear Signature

How did you hear about us? *

e.g Indeed, Do-It, Lewisham Local, Word of Mouth

Submit