Volunteer with St Nicholas Hospice Care

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What would you like to do?*

Enquire about volunteering
Apply to be a volunteer

What role are you interested in?

Please let us know the role or area of volunteering you are interested in

Please specify your preferred location

Please let us know what days you are available and if this would be in morning, afternoon or evening:

Your details

Title

Name*

First Last

Email address*

Enter Email Confirm Email

Telephone number*

Address*

Street Address Address Line 2 City County Post Code Country

Please tell us if you are:

Over 18
16-18
Under 16

Emergency contact name*

Emergency contact telephone number*

Knowing how and why St Nicholas Hospice Care uses your data

Only with ongoing support can we continue to help those faced with dying, death and grief. Therefore, staying in touch with supporters like you is vitally important.

As a supporter, you may receive telephone contact and post regarding news, events, and fundraising from us, so you can hear how your support makes a difference and learn of other ways to get involved.

However, our communication should never feel excessive, so if you’d like to amend how we contact you, please visit our website www.stnicholashospice.org.uk/yourdata or speak with our Supporter Care team by phoning 01284 715566.

In addition to telephone and post, if you’d like to opt-in to receiving email and SMS for news, events and fundraising, please tick to confirm below.

Email
SMS

Your enquiry*

Help us

Why would you like to volunteer for St Nicholas Hospice Care?

Please tell us a little about yourself and what skills you can bring

Do you have any health conditions or disabilities we should be aware of that may affect your volunteering?

References

Please provide the details of two referees. These should not be family members.

Referee 1

Name*

First Last

Email*

Telephone number

Referee 2

Name*

First Last

Email*

Telephone number

Requirements Under the Rehabilitation of Offenders Act 1974

Because of the nature of the work for which you are applying this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 (Exemptions) Order 1975.

Therefore applicants may not withhold information about convictions, cautions, reprimands or final warnings which would not be filtered in line with current guidance, and, in the event of volunteering, failure to disclose when asked any convictions, cautions, reprimands or final warnings that are not “protected” under the provisions of the Act (as amended in 2013) could result in disciplinary action or dismissal by the Hospice.

Criminal Record Disclosures
In addition to the above, St Nicholas Hospice Care uses the Disclosure and Barring Service (DBS) to help assess the suitability of applicants. The appointment to some Hospice posts will be made subject to a disclosure check, and barred lists checks and may check whether you are barred from with working with vulnerable adults and/or children. Disclosure will not necessarily bar you from volunteering with St Nicholas Hospice Care. This will depend on the circumstances and background of your offences, and also relevance to the post.

Have you ever been the subject of, or connected with a disciplinary investigation with your current or previous employer?

Yes
No

Please give details*

Declaration*

I agree to the Volunteer Declaration

Volunteer Declaration

• I confirm that the information I have given on this form is correct and complete, and in the event that this declaration is found to be false, this may be sufficient to terminate any volunteer agreement.

• I understand that if my volunteer application is successful I may be required to complete a confidential medical questionnaire in respect of my health.

• I understand that a Disclosure and Barring check may be sought through the Disclosure and Barring service in the event of a successful application (dependant on role).

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Protecting your data

St Nicholas Hospice Care will only use your data to inform you about general news, further support, and information about our services - to contact you, we may use post, email, telephone, or SMS.

You can learn more about data protection, changing your preferences or stopping contact at www.stnicholashospice.org.uk/yourdata or by picking up the phone and speaking with our Supporter Care team on 01284 715566.

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What role are you interested in?

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Help us

References

Protecting your data

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