Retail Volunteering Registration Form

Retail Volunteer Registration Form

We have many volunteering opportunities, for a list of the current roles please visit our volunteer for us web page or call 01934 423975.

I am interested in volunteering in...(shop location or donation centre role)

Your details

Title(Required)

Name(Required)

First Middle Last

Date of birth(Required)

(For insurance purposes only)

Contact number

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code Country

Emergency contact details

Name(Required)

First Last

Relationship to you(Required)

Emergency contact phone number(Required)

More about you:

How did you hear about volunteering for Weston Hospicecare?(Required)

Why would you like to volunteer for Weston Hospicecare?(Required)

Work experience/Build CV

Meet new people/Socialise

Connection to the hospice

Spare time

Duke of Edinburgh

Gain confidence

To do something worthwhile

To stay active

Other

If you selected other, please specify...

Health/Disability

For health and safety reasons, it is important that we only consider you for positions that you are safely able to carry out. Are you aware of any medical condition which may impact on your ability to carry out the role you are applying for?(Required)

Yes

If yes, are there any reasonable adjustments that would need to be made to support you carrying out your duties to ensure your safety and that of others whilst volunteering?

Right to Work (To be completed by non-UK citizens only)

This field has been selected as required, if you are a UK national please select the "Not applicable" option.

If you are in the UK on a visa, does this visa give you the right to work in the UK? This may not preclude you from volunteering but we need to be aware of your resident status. We may be in touch to discuss your resident status.(Required)

Yes

Not applicable

If yes, please state the category of visa you hold

Criminal Record Statement

If you are offered a role as a volunteer for Weston Hospicecare, you will be 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: https://www.nacro.org.uk/resettlement-advice-service/ https://www.gov.uk/government/publications/dbs-filtering-guidance

Keeping in touch...

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, visit our website: https://www.westonhospicecare.org.uk/about-us/privacy-policy/

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

Applications for persons under the age of 18 without parental consent and signature cannot be processed.

By ticking you agree...(Required)

I am over 18. This is not applicable.

I give permission for my child/ward to volunteer with Weston Hospicecare and for the hospice to hold their details on file.

I understand that Weston Hospicecare will ask my child/ward to agree to all relevant policies and procedures and to sign forms during training appropriate to their role.

I confirm to the best of my knowledge that my child/ward does not suffer from any medical condition other than those listed above.

I understand that it is my responsibility as parent/guardian to inform Weston Hospicecare of any changes in my child/ward's health and general well-being.

Parent/Guardian signature(Required)

Print name

Relationship to prospective volunteer

Date

Volunteer signature

Signature(Required)