Volunteer Application Form

    Strictly Private & Confidential

    We have many different volunteering opportunities, for a list of the current roles available,
    please visit our website or call the volunteer team on 01934 423975

    Vacancy Details

    Personal Details

    Emergency Contact


    Please give the details of two people (one for retail roles) who we may contact for a reference.
    Referees should have known you for over two years, be able to vouch for your suitability to
    volunteer, be over 18 years of age, and should not be related to you or live in the same
    household. Your signature will be taken as agreement for us to contact the following so
    please inform them that you have given us their details and that we will be in touch.

    More About You:

    How did you hear about volunteering forWeston Hospicecare?
    Why did you choose to volunteer for Weston Hospicecare?

    We recommend at least a year gap between a close bereavement and starting to volunteer in a role within the main hospice site, Jackson-Barstow House, Uphill. We will contact you to discuss on receipt of your application

    Health / Disability

    Right to Work (Non UK Citizens only)

    For Parents/Guardians of volunteers under 18 only (please tick and sign to confirm consent)

    Criminal Record Statement

    If you are offered a role as a volunteer for Weston Hospicecare, you will required to complete a criminal record declaration appropriate to the role. We recognise the contribution that former ex-offenders can make as employees and volunteers and welcome applications from them. A person’s criminal record, in itself, will not debar that person from being appointed to a role. Suitable applicants will not be refused roles because of offences which are not relevant to, and do not place them at, or make them a risk in, the role for which they are applying. All cases will be examined on an individual basis. Further guidance on disclosing a criminal record can be obtained from NACRO and DBS websites:

    Keeping in touch

    Communications from the Weston Hospicecare volunteer team are sent in relation to aspects of your volunteering such as, invitations to volunteer events, volunteer newsletter (Hospice Hotpress) and any training requirements. To keep costs to a minimum, we would like to contact you via email. If you are happy for us to email you, provide your email address:

    We take your privacy seriously and will never sell or swap your details with third parties. You can withdraw your consent to be contacted at any time by contacting the volunteer team on: Email: volunteer@westonhospicecare.org.uk Phone: 01934 423975

    For a full copy of our Privacy Notice, please visit our website: http://westonhospicecare.org.uk/ or call us on 01934 423975.


    I understand and agree that data contained in this application form will be used for volunteer recruitment purposes and will be stored on a computer database. I also agree to Weston Hospicecare holding this form in paper format in a secure area. Personal identifiable data will be held securely and only be accessed by authorised personnel within Weston Hospicecare

    I confirm that I have no self-interest(s)* that could conflict me from becoming a volunteer and I have no self-gain from volunteering for Weston Hospicecare. (* this can refer to being an auctioneer, actively buying and selling things online and elsewhere, an antique dealer or any other personal or social gain - this list is not exhaustive)

    I understand there is no intention to create a legal relationship. I am acting as a volunteer and I expressly confirm I am not an employee.

    I will not undertake any physical tasks unless I am confident, capable and have received appropriate training.

    I confirm that the information I have given is true, correct and complete and that any false statements or omissions may result in my services being terminated. I will update Weston Hospicecare if there are any changes to the details supplied.

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    Thank you so much for supporting your hospice!

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    Weston Hospicecare

    Reclaim Gift Aid

    Gift Aid It!Add 25% more to your donation at no cost to you. A Gift Aid declaration allows Weston Hospicecare to claim tax back on eligible donations. It means that for every £1 you donate to Weston Hospicecare we can claim back 25p from the government.

    By ticking the "Yes" box, I agree I would like Weston Hospicecare to reclaim the tax on all qualifying donations I have made, as well as any future donations, until I notify them otherwise. I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year I may be asked to pay any difference. I understand that Weston Hospicecare will reclaim 25p of tax on every £1 that I give.

    What is Gift Aid?

    Gift Aid does not cost you a penny more, but can add an additional 25p to every £1 you donate. When Weston Hospicecare receives a donation from a UK taxpayer, we're entitled to claim an amount of tax (calculated at the basic rate of income tax in that year) paid on that donation. Once you have given your permission for us to do this on your behalf, there is no need for you to do anything else.

    All that is required is that you must be a taxpayer and that would have paid or will pay sufficient Income and/or Capital Gains Tax to cover all the Gift Aid claimed on all your donations in that tax year. Please note that it is your responsibility to pay any difference.

    The amount of tax we claim will be 25% of the total value of your donations in that tax year. Furthermore, if you are a higher taxpayer, you are also entitled to claim the difference between the basic rate which we will claim and the amount of tax you have actually paid. For further details on how you can do this, please contact your tax office. If your tax situation changes and your gifts will no longer be eligible for the Gift Aid scheme please contact us and we will amend your record accordingly.

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    Donation Total: £10.00 One Time