KEEN London - Coach Registration Form

Please enter your name...
...and some details about yourself:
Gender: Female
Date of Birth:
Employment status: Full time education
Full time employment
Part time employment
If you're in full time education...
University or college:
Subject / course:
If you're in employment...
Job title:
Now we need some contact details:
Town / City:
County / State:
Email address:
Phone number:
At the sessions
So that our volunteers and children can get the most out of the sessions, it's helpful to know a little bit about you:
Why would you like to volunteer with KEEN?:
Any relevant experience, qualifications and interests:
Any access requirements (e.g. if you are a wheelchair user) or any medical conditions we need to be aware of:
In order to communicate effectively with athletes and report any of their concerns we need you to be able to understand and speak English confidently. What is your level of ability in spoken English?:
Note: We are very sorry but we are currently unable to accept new volunteer applications for our South London (Vauxhall) sessions, as we have all the volunteers we need there right now, but we do really need volunteers at our North London (Sundays in Tufnell Park) and East London (Saturdays in Dalston) sessions! So if you are able to travel to these locations and volunteer there it would be a huge help for us. If you can't make it to North or East and would like to be added to the waiting list for the South London sessions, please email and we will be in touch when we re-open applications.
Which session are you most interested in attending?: North London (Tufnell Park) - Sundays
East London (Hackney) - Saturdays
South London (Vauxhall) - Saturdays
How did you hear about KEEN?:
Which university?:
Which volunteering centre?:
What were you searching for?:
Please give details:

Because of the sensitive nature of volunteering with KEEN, you are required to disclose details of any criminal record. Only relevant convictions and other information will be taken into account so Disclosure need not necessarily be a bar to working with us.

Note that this volunteering position is excepted under the Rehabilitation of Offenders Act 1974, which means that all convictions, cautions, reprimands and final warnings on your criminal record need be disclosed.

This means you must include all convictions you've ever had—even if they are now spent, or if you were a juvenile at the time.

A DBS check is a Disclosure and Barring Service check. If you don't have a current DBS (or even don't know what one is), you can still volunteer with KEEN London - we will sort that out. But if you have one already, and are registered with the Update Service, that will save us some time.
Do you already have a current DBS? Yes
Are you registered with the update service? Yes
What is your ID for the update service?:
Do you give KEEN London permission to access your DBS information using the update service? I give my consent
I do not give my consent
Have you ever been convicted by the courts or cautioned, reprimanded or given a final warning by the police? Yes
If so, please give details of offences, penalties and dates:
Are you aware of any police enquiries undertaken following allegations made against you, which may have a bearing on your suitability for this post? : Yes
If so, please give details:
Referee details
Please provide the name and address of an independent person who we can contact for a personal reference. If possible, this should be someone who has knowledge of your previous work with children / people with disabilities. (However, previous experience is NOT necessary to volunteer for KEEN London and training will be provided). Your referee should NOT be a friend or family member.
Referee's name:
Referee's email address:
Referee's phone number:
Referee's relationship to you:
Any notes you wish to include with your application:
Data protection
Do you agree? : Yes
I understand that I will be coaching and taking part in sporting and recreational activities, I release and discharge KEEN London and its agents from any and all liability or responsibility for any accident or injury to person or property which may occur during the course of such activities, except for any liability or responsibility resulting from the gross negligence or wilful misconduct of KEEN London or any of its agents. I understand that photographic and video material may be taken and give my consent for it to be used in promotional materials.
Type your name to indicate agreement: