Registration Form for Volunteer Coaches – Northern Ireland – The Social Work Professional Support Service

Thank you for offering to be a volunteer coach with the Social Work Professional Support Service (SWPSS).

When you complete the online form below, you are deemed to understand that this is a volunteer role and that you will need to offer up to four hours of coaching a month for a period of 6 months.

Once you have submitted the form a member of the SWPSS administration team will contact you to request evidence of your identity and credentials so that you can be set up on the SWPSS Platform. The reason this is a multiple-step verification process is to protect the security and privacy of yourself and the participants.

Once your credentials have been confirmed by a member of the administration team, you will be sent a separate email invitation from SWPSS to join the SWPSS Platform. This email will include step-by-step instructions on how to register on the secure service, enter your biographical details, and manage your calendar and appointments.

Please note that the information you provide on this form will be used solely for the purposes of registering you as a volunteer coach on the SWPSS Platform and assessing your suitability for the role.

And once again, thank you for offering your valuable time to help support your social work colleagues.

Personal Details

Please provide us with your name and contact details. This information will only be used for the purposes of processing your application and to set you up on the coaching platform. If for any reason you do not proceed as a coach, this information will be destroyed.

First Name *

Last Name *

BASW Membership Number

Address

Postcode

Telephone *

Enter a mobile phone number for us to contact you in relation to this expression of interest

Email *

Enter the email that we can use to contact you to process your expression of interest. Should you proceed as a coach, we will then ask you for the email address that you will use to log in to the service and receive booking confirmations.

Password * Show Password

Please advise us if you have any health or additional needs and requirements

Professional Registration Number (SWE, SSSC, SCW, NISCC)

It is not a requirement for volunteering as a coach, but please tick yes if you are a member of BASW
Yes, I am a BASW member
No, I am not

Please confirm you are registered with Northern Ireland Social Care Council (NISCC). (This is a compulsory requirement for volunteer coaches)
Yes
No

Do you have a current DBS Certificate*
Yes - Basic DBS
Yes - Standard DBS
Yes - Enhanced DBS
Yes - Enhanced DBS: including barred lists
No

Do you speak any language in addition to English? If so, please list below:

Previous Coaching Experience *

Please provide us with any previous coaching experience or relevant qualifications you may hold:

Current employment

Please provide us with some information about your experience and current employment, including:

Name of Current Employer/NI Health Trust *

Job Role *

Number of months/years in role *

Areas of work or specialism (e.g. adult services, mental health, supervision) *

Please provide a brief description of who you are, what skills you bring, and what you would like to gain from your experience as a volunteer for the Social Work Professional Support Service *

As BASW NI has limited places for the coaching training, we ask our volunteer coaches to commit to the scheme for a short period of time. We also ask you to agree to follow the BASW Code of Ethics in engaging with the service to ensure we have clear expectations of a shared values base.

I understand that this is a volunteer role and that I am able to commit to offer up to four hours of coaching a month for a period of 6 months.
I agree to follow the BASW Code of Ethics

Applicant Name *

Date *

Please provide two reference contacts. Where you are in employment, please ask your manager to endorse this application by acting as a referee.

Reference One

Please give their name, position and email address

Reference Two

Please give their name, position and email address

BASW NI (part of BASW UK) and Strengthening Practice are committed to responsible data management and subscribe to the principles of the General Data Protection Regulations (GDPR) in the United Kingdom. Emails and listing information processed through the Social Work Professional Support Service are stored within the BASW UK email service, the Strengthening Practice email system, and a web-based platform hosted by Microsoft and are subject to BASW’s Data Protection and privacy policies. Your data will be used only for participation in the Professional Support Service and will not be used for any other purpose without your express knowledge and consent.

Please let us know if you would like to hear more (by email) about BASW NI and the benefits on offer.

Yes, contact me

Diversity and Equal Opportunities

We aim to be an equal opportunities provider, and our policy is that all people receive equal treatment regardless of race, colour, ethnicity, nationality, disability, age, gender, sexual orientation or marital status, where any of these cannot be shown to be a requirement of the role concerned.

We need your help and co-operation to enable this, filling in this form is voluntary.

Sexual Orientation

Which group do you most identify with? The options are listed in alphabetical order.

Bi-Sexual
Gay woman/lesbian
Gay man
Heterosexual/straight
Other
Prefer not to say

Disability

Do you consider yourself to have a disability?

Yes
No
Prefer not to say

* required field