Apply to be a volunteer

Personal Information

Sex

Are you over 18 years of age?


Areas of interest

Where would you like to volunteer? Please see our volunteering opportunities list.

Please indicate your availability each week.

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Person to notify in an emergency

Experience, skills and qualifications

References

Please give details of two referees over the age of 18 years, who have known you for more than two years, and are not related to you. 

Reference 1

Reference 2

Criminal Convictions

Any information you supply on this form is confidential and will only be used in respect of your voluntary placement in line with the Data Protection Act 1998. By submitting this application form you consent to St Luke’s Hospice using this information for this purpose. Any information given will be considered only in relation to applications for positions covered by the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975.

Applicants are not entitled to withhold any information about criminal convictions, however long ago these occurred. Failure to disclose such convictions could result in being released from a volunteer role. 

Have you ever received a criminal conviction?


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Agreement and Signature

I confirm that the information supplied is accurate and that I have not knowingly withheld any information which is relevant to the application. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may preclude me from volunteering for St Luke’s.

Our Policy

St Luke’s Hospice welcomes volunteers without regard to race, colour, religion, national origin, gender, sexual preference, age, or disability.
It is our tradition to celebrate our volunteers’ birthdays by sending a greetings card.  We are only able to do this if we have their date of birth.  We would appreciate it if you would provide this information