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01934 423900
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Patients AreaDonate!

Equality & Diversity Monitoring Form (Volunteer)

This form will be detached from your application on receipt and will not be used as part of the selection process. Your application will not be affected in any way if you choose not to complete it. However we would strongly encourage you to do so, as the data can be very helpful in monitoring our success against our equality & diversity goals. Alternatively you might wish to send it to us in a separate envelope/separate email. You do not have to complete this form but if you would like to do so, the information would be very helpful to us. The information will only be used to provide statistics to show us where we need to target our volunteer recruitment and will help us to make sure that Weston Hospicecare welcomes volunteers from all areas of society.
Age Category
Gender
Marital Status
Ethnicity
Sexual Orientation
Religion or belief(Required)
National identity(Required)

Disability

The Equality Act 2010 defines a disability as a "physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out normal day-to-day activities". An effect is long-term if it has lasted, or is likely to last, more than 12 months.
Do you consider yourself to have a disability under the Equality Act 2010?(Required)

Thank you for completing this form.

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Contact Us

Weston Hospicecare
Jackson-Barstow House
28 Thornbury Road
Uphill
Weston-super-Mare
BS23 4YQ

Tel: 01934 423900
Email: info@westonhospicecare.org.uk

Our Care

  • Where to start
  • Community nurses care at home
  • Caring for you at the hospice
  • Talk to our Family Support Team
  • Advice for professionals
  • Make a referral
  • Emotional health

Therapies

  • How To Support Us
  • A MINUTE A MONTH
  • The Mendip Challenge
  • The Moonlight Beach Walk
  • Annual Charity Golf Day
  • Wedmore 40/30
  • In loving memory
  • Corporate Supporters

Other

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Registered Charity No. 900328. Registered in England No. 2414541 | Supported by Newday Media. © Copyright 2019

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