Access Services
DONATE
t: 01978 316800   e: info@nightingalehouse.co.uk
t: 01978 316800  e: info@nightingalehouse.co.uk
Access Services
DONATE
Translate

Become a volunteer

Volunteer Application Form

Thank you for applying to become a volunteer with Nightingale House Hospice. The information you give on this form will allow us to assess your suitability for voluntary work at Nightingale House and will enable us to match your skills, experience and availability to our current vacancies.

Contact Details

Name
Date of Birth
Address

Emergency Contact Details

Emergency contact: Name
Emergency contact: Address
Where did you hear about volunteering at Nightingale House Hospice?
Are you a Welsh Speaker?
Considering your experiences and skills where would you like to volunteer?
Please tick all that apply.
Applying for a retail role? Let us know which store you would like to volunteer in.

References

Two references are required to support volunteer applications. They should be someone who has known you for longer than two years and must NOT be a relative or partner.
Reference one
Reference two
Reference 1: Name
Reference 2: Name

Criminal Declaration

Have you ever been convicted, cautioned, reprimanded or given a warning for a criminal offence that would not be filtered in line with current guidance?

Health Declaration

Do you have any health conditions, including mental health issues or disabilities?

Marketing Consent

We are responsible fundraisers and promise to make sure your details are used only as you wish and in line with data protection law. We will never share your details with another organisation. We would like to show you, from time to time, what donations like yours are achieving. If that would be ok, please tick if you are happy for us to contact you by:

Marketing Consent checkbox
Note: You can update your communication preferences at any time.

Nightingale House Hospice is committed to protecting your privacy and that the data we gather and hold are managed in accordance with the current data protection legislation. Please see our privacy policy for more information: privacy policy.

Declaration
Clear Signature
Date:

Next Steps

Once we have reviewed your application, we will request your references, once both are received, we will contact you to attend an informal interview to discuss your volunteering choices and availability and complete your Data Barring Services Check.

Not quite what you're looking for?

Are you interested in joining us, but haven’t seen a suitable volunteer vacancy?

We have lots of diverse volunteer roles that may be suitable, from clinical to events, fundraising to retail.

Apply to be a volunteer using the form below, and we will be in touch to help find a volunteering role that suits you.

Become a volunteer today
Translate