Volunteers' Week 2023

Please provide the names, addresses, email address and telephone number of two referees. For retail, only one reference is required. These should be from someone that can vouch for your suitability and capability to be able to carry out the role. This must be someone that has known you for at least two years. We cannot accept references from family members.

As a healthcare provider, it is very important to us that our staff and volunteers have the annual flu jab and the COVID vaccination as we believe having the vaccinations not only protects you but also helps us to keep our patients, staff, volunteers, visitors and supporters safe. Please could you provide the dates of your COVID vaccinations below:

Parental consent is required for all volunteers under the age of 18. Parents or guardians will be invited along to interview, although it is not mandatory that you attend. I am aware that the person named on this enquiry form has applied to carry out voluntary work with Ashgate Hospice. I am aware of the role they have applied for.

Please provide details of who you would like us to contact in case of an emergency.

All information processed by Ashgate Hospice adheres to data protection legislation, including the General Data Protection Regulation (GDPR). All information provided on this form will only be used to process your application to volunteer with Ashgate Hospice. All information will only be kept for as long as necessary and in line with our Records Management policy (a copy is available on request). I understand that appointment as a volunteer will be subject to all the information in this application, including that relating to criminal convictions, being complete and correct and that any false information given may invalidate this application or lead to a cessation of volunteering.