Volunteer Application Form

Volunteer Application Form
Thank you for your interest in volunteering for Princess Alice Hospice.

Please note you will need to be aged 16 and over to become a volunteer with us (aside from family volunteering).

Fields marked with * are mandatory to complete. If the 'next' button does not work check you have completed all fields.
Please note: If you wish to apply for our Shop Volunteer role, please visit - www.pah.org.uk/shop-volunteer-application
Which volunteering role(s) are you applying for?*
Which volunteering role are you applying for?
When and how often might you be available to volunteer? *
Personal Details
Name*

PrefixFirst NameLast Name
Known as
Pronouns

She/HerHe/HimThey/ThemOther
Home Address*

Address Line 1

Address Line 2

City/TownCounty

Postal / Zip CodeCountry
Please note we are only able to accept applications from those who live, work and/or study in the UK. Thank you.
Email*
example@example.com
Telephone Number*
Age disclaimer*
Please provide your date of birth*

DayMonthYear

Fields marked with * are mandatory to complete. If the 'next' button does not work check you have completed all fields.
Criminal Convictions
Rehabilitation of Offenders Act 1974

All potential volunteers within the Hospice will be required to have a Disclosure and Barring Service (formerly CRB) check, which the Hospice will undertake on your behalf. Previous criminal convictions will not necessarily prevent full consideration of your application.
Do you have any unspent criminal convictions?*

YesNo
If yes, please specify below*
Do you have any health conditions that may affect your role as a volunteer that we should be aware of?*

YesNo
If yes, please specify below*

References

Please provide details of two referees who are not related to you and who you have known for at least 2 years. Please note we may only contact one of your referees.
Reference 1
Name*

PrefixFirst NameLast Name
Email*
If unknown, please type ‘not known’
Telephone Number*
Relationship to you*
Reference 2
Name *

PrefixFirst NameLast Name
Email *
If unknown, please type ‘not known’
Telephone Number *
Relationship to you *
In order to speed up the recruitment process, would you be happy for us to contact your referees in advance of an informal interview?*

YesNo

Fields marked with * are mandatory to complete. If the 'next' button does not work check you have completed all fields.
Emergency contact details
Name*

PrefixFirst NameLast Name
Telephone Number*
Relationship to you*

Fields marked with * are mandatory to complete. If the 'next' button does not work check you have completed all fields.
Declaration
Declaration*

Fields marked with * are mandatory to complete. If the 'next' button does not work check you have completed all fields.
Keeping in touch

We’d love you to be part of the Princess Alice Hospice supporter community, but if we don’t have your permission, we can’t get in touch with you to share our latest news, campaigns and information about how you can support our work.
Would you like to hear from us by email?*

YesNo
Would you like to hear from us by post?*

YesNo
Would you like to hear from us by phone?*

YesNo
Rest assured, we never share, swap, rent or sell our supporters’ details to other charities or third parties for marketing purposes. You can read how we manage and respect your data in our Privacy Notice at www.pah.org.uk/privacy

If you’d like to change your permissions at any time please contact our Customer Experience Team on 01372 461808 or customerexperience@pah.org.uk

Personal Details