Volunteer with us

This application must be filled out, submitted, and approved before volunteering can begin. If you have any questions, please contact Volunteer Services at volunteering@ppwh.org.uk or 0141 429 9878.

First Name *

Mobile Phone Number *

Email Address *

Emergency Contact Number

Last Name *

Home Phone Number

Emergency Contact Name

Street Address *

Street address line 2

City *

Post Code *

Are you a United Kingdom (UK), European (EC or EEA) National? Yes or No

Yes

Not all visas allow volunteering. Please detail what visa you currently hold, including number, start/expiry dates, and any restrictions below.

Additional information

Please select times you are available to volunteer.

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Are you interested in weekly, biweekly, or flexible volunteering?

More information

Please let us know what day and time would suit you.

Please provide the names of two referees who are not family members.

Name 1

Address 1

Postcode 1

Email 1

Name 2

Address 2

Postcode 2

Email 2

How did you hear about volunteering at PPWH?

Do you possess a full current driving license? *

Yes

Is it clean? *

Yes

If no, please give details

The Prince & Princess of Wales Hospice actively encourages applications from people of all backgrounds, and we want to ensure that our volunteering opportunities are open to all. We operate a policy of equality and diversity of opportunity and we are committed to treating all volunteers with dignity and respect.

The only way we can ensure there is equal opportunity is to monitor applications we receive. Therefore, to help the effectiveness of our policy, we ask you to complete this confidential form as a part of your volunteering application. We understand that some applicants may hesitate to provide the personal details requested, but this section will be removed from your application and the information you provide will be used for monitoring purposes only and to review and report on the effectiveness of the Hospice’s equal opportunities polices.

What age are you?

Under 20

20-40

41-60

Over 60

Prefer not to say

Please specify your age (in years)

How would you describe your gender?

Female

Male

I prefer not to answer this question

Would you consider yourself to be transgender?

Yes

I prefer not to answer this question

How would you describe your sexual orientation?

Heterosexual

Gay man

Lesbian

Bisexual man

Bisexual woman

I prefer not to answer this question

The Disability Discrimination Act 1995 defines disability as “a physical or mental impairment which has a substantial and long-term adverse effect on a person’s ability to carry out normal day to day activities”.

Do you consider that you have a disability?

Yes

I prefer not to answer this question

Through your volunteering with The Prince & Princess of Wales Hospice you may be involved in working with children, young people and vulnerable adults. It is the policy of the Hospice to carry out appropriate disclosure checks on all individuals who volunteer within the Hospice building. A copy of this policy is available on request. The information requested below is only required as a preventative measure against abuse of children, young people and vulnerable adults and will not be used for any other purposes. It will be treated in the strictest of confidence and will not be used to discriminate against you unfairly. All convictions must be declared as exemption under the Rehabilitation of Offenders Act 1974 applies.

1. Have you ever been convicted of a criminal offence? *

Yes

2. Do you have a court appearance pending or have you been charged by the Police for a criminal offence? *

Yes

If you answered YES to the above, please provide the following details: date, court, details of the offence, and sentence.

I certify that the above information is correct. I understand that my application may be rejected or that I may be dismissed for withholding relevant details or giving false information. I understand that any employment offer will be subject to satisfactory references, disclosure check (where appropriate), occupational health check and professional registration if appropriate. I have read the information on data protection and agree to my details being used in the specified ways.

Your Name

Date