Volunteer Application Form

Please choose the volunteer position you’d like to apply for: (required)

Name: (required)

Post code: (required)

Email address: (required)

Daytime phone number: (required)

Mobile number:

Please indicate when you are available below (select all options that apply) *

Monday AMMonday PMTuesday AMTuesday PMWednesday AMWednesday PMThursday AMThursday PMFriday AMFriday AMFriday PMSaturday AMSaturday PMSunday AMSunday PM

Please confirm below that you are available to volunteer for a minimum of 9 months

Please tell us where you heard about Royal Trinity Hospice (required)

Please tell us briefly why you are looking to volunteer and why you chose Trinity (required)

Tell us about your skills, experiences, interests and hobbies. This can include previous work, volunteering or life experiences (required)

Have you ever been a paid member of staff for Royal Trinity Hospice?

YesNo

If yes, please tell us the job title and date you left (required)

Do you have any health conditions or support needs that may affect your volunteering or that our staff should be aware of? If yes, please list details below.

Reference one name: (required)

Reference one email: (required)

Reference one telephone: (required)

Reference one relationship to you: (required)

Reference two name:

Reference two email:

Reference two telephone:

Reference two relationship to you:

Contact name: (required)

Contact telephone: (required)

Contact relationship to you: (required)

Contact email: (required)

Do you have any criminal convictions (either spent or unspent)? (required)

If you answered yes, please detail them below

Please type your name below to confirm that the information you have provided below is true: (required)

Today’s date (required)

Volunteer Application Form

Availability

Reasons for volunteering

Previous experience and skills

Health

References

In case of emergency

Disclosures