Hospice Engagement Group Member Application Form


Please complete the form below if you wish to join this group.

When you click Submit the form will be sent to directly to the Volunteer Team.

Thank you

  • Personal details

  • Application Details

  • References

    Please state below two referees. Referees should be over 18, not a relative and have been known to you for at least two years. If you are a current volunteer please leave these boxes empty.
  • Reference two

  • The hospice is exempt from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act by virtue of the Rehabilitation of Offenders Act (Exceptions) Order 1975. You must declare any convictions you may have had including convictions which for other purposes are ‘spent’ under the provisions of the Act. Any information will be completely confidential and will not necessarily disqualify your application for becoming a volunteer.

    A criminal record WILL NOT automatically bar you from becoming a volunteer. Any information given will be completely confidential.

  • All applicants to complete this declaration:

  • If you are legally eligible to work in the UK, you are eligible to volunteer.


    Data Protection Act 1998 and General Data Protection Regulations 2018

    This application form has been designed to provide us with sufficient basic information to carry out a preliminary assessment of your suitability for the post. The information you supply in this form is confidential and will only be used by those involved in the appointment in line with the Data Protection Act 1998 and the General Data Protection Regulations 2018. For further information please refer to the GDPR information for job applicants and the hospice’s privacy notice which can be found on the website.

  • By ticking below, I confirm that the information given on this form is, to the best of my knowledge, complete and correct. I understand that any incorrect or incomplete information may lead to my application being refused. I confirm that I am legally eligible for a volunteering role in the UK (if you are eligible to work in the UK, you are eligible to volunteer). I understand that if I am accepted as a volunteer, my details will be held on a secure database for St Elizabeth Hospice use only..

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