Specialist Volunteers

Please complete this form to apply to become a Specialist Volunteer - the details you provide will help us to match you to a person in need in York with additional needs such as dementia, autism, learning disabilities or mental health concerns.

Before you start this application we suggest you gather the following information (if available):

• A DBS certificate, the date it was issued and any organisation details
• notes of any qualifications relating to mental health, Aspergers, autism, Alzheimer's, dementia or learning disabilities

Please be aware that our system will 'time out' after 10 minutes spent on each page of this application. We strongly suggest you gather the required information ahead of completing the form, as it's not possible to save a partially completed form, nor to retrieve information if the time out period is reached.

If you need any help or advice to complete this form contact us via email: communityhelpers@york.gov.uk - we'll be happy to assist you.

Your security

Please do not use this form to send anything of a confidential nature, for example your credit card or bank details.

Your privacy

We do not rent, sell or trade your personal information; please see our privacy statement.