Apply to be a volunteer

Thank you for taking the time to complete this Volunteer Application Form. After your form has been processed a member of staff will contact you to discuss volunteering opportunities with Thames Hospice.

Personal details

Please complete all fields

Title *

If other, please tell us your title

First name *

Surname *

Date of birth *

Telephone number *

Email *

Address 1 *

Address 2

Town / City *

Postcode *

Emergency contact details

Emergency contact name *

Emergency phone number *

Relationship to you *

Volunteering roles

Please check our Current Opportunities page to see which roles we have available.

Preference 1 *

Please select preferred location

Preference 2

Please select preferred location

Preference 3

Please select preferred location

Please indicate your availability *

More about you

What has motivated you to become a volunteer? *

If other, please tell us your reason

What skills, qualities, interests and experiences could you bring? *

How did you hear about volunteering with Thames Hospice? *

If other, please tell us your reason

Has someone you had a close connection with died in the last two years?

We recommend at least a two year gap between a close bereavement and starting to volunteer within the Hospice at Pine Lodge. We will contact you to discuss on receipt of your application.

Health/disability

Do you have any health issues, disabilities or additional support needs we should be aware of, or do you require any adjustments to enable you to carry out volunteer duties?

Volunteers from Overseas (Non-UK citizens)

Are you an EU or EEA citizen? *

Not applicable Yes No

If no, please state the category of visa you possess

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.

Referees

As part of your application, we require the details of two referees. Your referees should have known you for over two years, be able to vouch for you, be over 18 years of age, and should not be related to you or live in the same household. We will only contact your referees once you have been offered a volunteer role.

1st Referee name

1st Referee relationship

1st Referee contact information (please include any of the following: email address, phone number or address)

2nd Referee name

2nd Referee relationship

2nd Referee contact information (please include any of the following: email address, phone number or address)

Declaration

I allow Thames Hospice to store my details in accordance with Data Protection legislation for internal use only. Your personal details will be used in relation to your volunteering application and your role within Thames Hospice.

By providing us with any personal data, you consent to the collection and use of any information you provide in accordance with the above purposes. Our Privacy Policy is available here or by calling 01753 842121.

I declare that, to the best of my knowledge, the information given on this form is true and accurate. I allow Thames Hospice to take up my two references if necessary

Thames Hospice would like to keep you up-to-date with details of news, events and fundraising activities using the contact details you have supplied.

Please indicate how you would like to receive information:

Post
Email

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