Apply as a volunteer | Trinity Hospice

First name: *

Surname: *

Address: *

Daytime telephone: *

Mobile:

Email: *

Availability (we don't expect you to commit to more than two days per week): *

Can you commit to a minimum of six months?: *

Yes

No

How did you hear about Trinity?: *

Tell us about any previous volunteer or work experience: *

Please tell us which of our current volunteer vacancies you are applying for: *

Tell us about any skills or experience you have that you think will be particularly helpful to Trinity: *

Please indicate your age group: *

18-29

30-44

45-64

Over 65

If you are under 18 please give your date of birth:

Please give details of two referees who have given their permission to be approached and have known you for at least a year

Who should we contact in the event of an emergency?

Name: *

Daytime telephone: *

Evening telephone: *

Mobile:

Your relationship to this person: *

Criminal record – if you are applying for a volunteering role that involves working with patients you are required to declare all convictions including those otherwise regarded as spent and to have a Criminal Records Bureau Enhanced Disclosure.

Do you have any unspent criminal convictions : *

Yes

No

If yes, please give details. Having a criminal record will need to be taken into account but will not necessarily stop you from volunteering:

Trinity could not provide its important services without the help of our fantastic volunteers. It is important to us that you are informed about what we are doing. We would like to make sure you receive the same information (newsletters, fundraising appeals and more) that we send to our staff and other stakeholders.

Please check the appropriate boxes to tell us your preferences:

I am happy to receive information by email

I am happy to receive information by post

All the information you have given us will be kept in accordance with the Data Protection Act and will be held securely and confidentially.

I declare the information I have given is true: *

Yes