Volunteer On Boarding

Emergency Contact Details

Please complete this section so we have details of who to contact if you are taken ill whilst volunteering. If you prefer you may give details of a close friend/ neighbour rather than a family member.) If you have already completed an Emergency Contact form, please ignore.

Volunteer Health Declaration

The purpose of the health declaration is to see if you have any health problems that could affect your ability to safely and effectively undertake the duties of the volunteer role you have applied for.

If you answer “no” to this question no further action will be taken and this declaration will remain on your personal file to confirm that you do not have any relevant health problems on commencement of your volunteer role.

If you answer “yes” to this question further discussion will be necessary to find out more information regarding the nature of your health condition and whether or not it might affect your volunteer role. All efforts will be made by the hospice to fairly and openly assess the impact your declared health condition might have upon both your performance of your volunteer role and the service that we provide to our patients and their families and carers. Advice and guidance may be sought from the hospice occupational health service or from your General Practitioner (with your prior permission). All information provided will be treated in the strictest confidence.

Completion of the form is mandatory and is a requirement of the hospice’s registration with the Care Quality Commission. If you choose not to complete the form the Hospice will not be able to process your application to become a volunteer in the role specified above but we may be able to offer you a different volunteer role subject to such a role being available.

It is your responsibility to inform your manager about any changes to your health conditions which might affect your ability to perform your volunteer role.

Keeping in Touch

Please tick the boxes below, so that we can continue to share information and ask for your help.

We will never pass on your personal information to third parties. You will automatically receive communication from us relating to your volunteering activities; in addition we would like to contact you to ask and inform you about other ways to support the hospice.

Please mark your preference by ticking as appropriate.

Wherever possible we will send communications electronically as this helps to save money on printing and postage costs.

From time to time we may need to check with you to make sure you are still happy to be contacted in the same way you have chosen.

If you decide to leave the hospice, we will ask you if you are still happy for us to contact you via the communication methods you have chosen above.