How to Apply

During the COVID pandemic please just register your interest at volunteers@stmaryshospice.org.uk and we will contact you when the time is right.

Complete our online form or scroll to the bottom of this page for our downloadable forms.

If you are from outside the UK you must make sure you have the right to volunteer under your visa or entry clearance conditions.

You can check with https://www.gov.uk/government/organisations/uk-visas-and-immigration

    Personal Details

    Title

    Forname

    Surname

    Address

    Postcode

    Contact Information

    Home

    Mobile

    Email Address

    Email is our preferred method of communication as it is speedy and cost effective

    Which methods can we use to contact you?
    HomeMobileEmail

    Background Information

    What prompted you to apply to become a Volunteer at St Mary's Hospice?
    Newspaper ArticleAdvertFacebookFriend or RelativePosterTwitterRecruitment/PresentationOther
    If other please specify

    Volunteering/Skills/Experience

    Please tell us about any voluntary work you have done

    Please list any skills, interests/hobbies or work experience you have

    Volunteering Opportunities

    Volunteering Opportunities
    GardeningLiving Well Programmes & ActivitiesReceptionDay HospiceRetail Shops & Furniture WarehouseIn Patient Unit – serving meals/befriendingRetail DriverPatient transporting driversMaintenance - Vehicle & BuildingsComplementary TherapiesFundraising & EventsFamily Support & BereavementThe Orangery CafeAdministrationOnline Retail

    Availability

    Please select the times you are available.

    AMPMEvening
    AMPMEvening
    AMPMEvening
    AMPMEvening
    AMPMEvening
    AMPMEvening
    AMPMEvening


    Please indicate any times you are not available (e.g. school holidays)

    Health Declaration

    For Health and Safety reasons, it is important that we do not assign you the wrong task. A disability or health problem does not necessarily exclude you from volunteering for us but to enable us to assess you suitability for particular tasks we require information about your health.

    Please describe any special needs, disability, allergies or other physical or mental health matters that may affect your ability to work as a volunteer that we should be aware of.

    Have you experienced the death of a close relative or friend in the last 12 months?
    YesNo
    Was this someone who was a patient with St Mary’s Hospice?
    YesNo

    Were you involved with supporting this person?
    YesNo

    Driving

    Do you hold a full UK driving licence?
    YesNo
    Do you have your own transport?
    YesNo

    Criminal Convictions & Disclosure and Barring

    The nature of this type of voluntary work it is exempt from the Rehabilitation of Offenders Act 1975 (Exemption) Order 1975. This means that applicants are NOT entitled to withhold information of convictions, which for other purposes are spent. Previous convictions will not necessarily prevent you from becoming a volunteer.

    Have you ever been convicted of a criminal offence?

    YesNo

    This information will remain confidential and will be discussed at the interview stage.

    Volunteers undertaking roles which may involve contact with vulnerable people will be required to have a DBS (police) check carried out.

    General Data Protection Regulation 2018

    The information you have provided is used to process your application to become a volunteer with St Mary’s Hospice only. The information is used by the Volunteer department and the area for which you volunteer, we do not share your information unless required to by law. Your personal information is stored securely electronically on our volunteer database or on paper records locked away.

    Your data will be kept for 1 year after you stop volunteering.

    If you do not progress with this application your data will be confidentially disposed of after 3 months.

    Declaration

    I declare the information given on this form is correct to the best of my knowledge. I give my consent for personal information to be recorded, used and stored solely by St Mary’s Hospice and a DBS to be completed if required.

    Any applicant under 16 years of age must have permission off their parent or carer

    References

    Please give the names and addresses CLEARLY of two people who can tell us about you. For example, someone who knows you well, someone you have worked with, a teacher, someone from your community (this must not be a family member).

    Reference One

    Name
    Address
    Postcode
    Phone Number
    Email Address
    Relationship to you

    Reference Two

    Name
    Address
    Postcode
    Phone Number
    Email Address
    Relationship to you


    Download and fill in our online application form and start your volunteer journey:

    Download Form (PDF) Download Form (DOCX)

    You can upload the completed form below.

      Your Name

      Your Email

      Upload Completed Application Form: