Areas of interest
Where would you like to volunteer? Please see our volunteering opportunities list.
Please indicate your availability each week.
Person to notify in an emergency
Experience, skills and qualifications
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.
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.
Agreement and Signature
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