Apply now to volunteer, enter your information below.

SECTION 1 – YOUR DETAILS

Emergency Contact

SECTION 2 – HOW CAN YOU HELP US?

Your volunteeing and work experience

Please tell us about your volunteering and work experience


Employment status








Please tell us a little bit more about yourself


We would like to offer you a volunteering role which is appropriate to your own emotional health and well being.



SECTION 3 – YOUR VOLUNTEERING OPTIONS

There are lots of ways to get involved. Please tick the roles where you would like to help.

Working with our patients and their families







Fundraising / Events / Retail







Support services







Your availability: Please let us know when you are normally available

Morning








Afternoon








Evening








SECTION 4 – REFERENCES

Please provide details below of two people who have agreed to supply a reference for you. They should not be related to you, but should have known you for the last 2 years, and be able to comment on your ability to fulfil the role you’ve applied for. Please complete all the boxes.

First Reference

Second Reference

SECTION 5 – PERSONAL DECLARATIONS

We welcome and value our volunteers for the skills they bring. To allow us to consider any appropriate adjustments to the volunteer environment and better support you in your role, please give details below of any relevant health issues (e.g. back problems)

Confidentiality

During the course of your time with Peace Hospice Care you may have access to confidential information.
As a volunteer it is essential to respect the confidences of patients, visitors, staff and other volunteers. Volunteers must not, under any circumstances, disclose patient information or details to anyone outside the Hospice. Volunteers are expected to respect business and financial confidentiality. Information cascaded within the Hospice is not for the public. The Hospice regards any breach of confidentiality very seriously. Any breach could result in the end of your volunteering at the Hospice.

Criminal convictions

Many aspects of voluntary work at the Hospice mean that, under the Rehabilitation of Offenders Act (1974), you must declare all criminal convictions, however long ago these occurred. A conviction does not necessarily bar you from volunteering for us, but we do need to know.




Eligibility to volunteer in the UK

If you are legally allowed to work in the UK on a permanent basis, you are also normally allowed to volunteer. However, people from outside the European Economic Area may need permission to undertake voluntary work. If in doubt, please contact us.


Applicant’s declaration

I confirm that the information I have given is accurate and that I have not knowingly withheld any information which is relevant to this application. I have read and understand the statement of Confidentiality and I understand that failure to comply could result in dismissal from my voluntary role. I consent to my information being held and processed by Peace Hospice Care or its agents in accordance with the 1998 Data Protection Act.

From time to time Peace Hospice Care would like to send you information about our work.




Data protection

Any information you supply in this form is confidential and will only be used in respect of your voluntary placement in line with the Data Protection Act 1998. By submitting this application form you consent to the Hospice using this information for this purpose.