Volunteer Application Form

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

About You

Title(Required)

Your Name(Required)

First Last

Your Address(Required)

Street Address Address Line 2 City Postcode

Date of Birth(Required)

*Please note that our minimum age to apply to volunteer at City Hospice is currently 18 years old.

Email(Required)

Phone(Required)

Your Emergency Contact

Name(Required)

Relationship to you(Required)

Phone(Required)

Tell us a little more

Why do you want to volunteer?(Required)

Please use this section to tell us a little bit about yourself and why you want to volunteer

Key skills/ previous employment(Required)

Please tell us about any key skills, previous employment or experience that you feel is relevant, or could support the work we do

Welsh language(Required)

Fluent

Some conversational

Greetings only

None

Sometimes, we have occasions were it's helpful to know if a volunteer is a Welsh speaker. We might have a patient that is a Welsh speaker or be holding an event delivered in the Welsh language. Please select your

How did you hear about volunteering with us?(Required)

If other, please specify here:(Required)

References - Employment or character references

Please provide details of two referees we can contact regarding your application. Either character or employment references can be submitted, but you must have known the individual in the last two years. Family members are unable to be accepted as references.

Reference One

First Last

Capacity Known

Email

Phone

Reference Two

First Last

Capacity Known

Email

Phone

Criminal Convictions

Do you have any offences which are currently unspent under the Rehabilitation of Offenders Act 1974?(Required)

Having a criminal conviction does not necessarily prohibit you from volunteering with City Hospice, but will be taken into consideration when assessing your suitability for the role. For more information on volunteering with criminal convictions, please contact our Volunteer Development Manager.

If yes, please detail:

Medical Conditions

Do you have any medical conditions and/ or disability that we need to take into consideration which may affect you volunteering?(Required)

If yes, please detail:

Keeping in touch

We'd love to keep you posted with our news, activities and how you can help in other ways. We'll never sell or swap your details with anybody else. You are free to change your mind at anytime. Please indicate how you would like to hear from us by using the tick boxes below

Contact via...(Required)

Volunteering Application Form

Thank you for your interest to join our wonderful City Hospice volunteering team.