Volunteer Application - Retail Roles

This site is for professionals assisting people with life limiting illnesses. The content contains medical information about serious illnesses and dying.

If you are looking for general information about Trinity Hospice, go to www.trinityhospice.co.uk

Unique ID
Volunteer for Us - Retail
The information you give on this application form will allow us to assess your suitability for voluntary work at Trinity Hospice.
The information you give on this application form will allow us to assess your suitability for voluntary work at Trinity Hospice. All details will be treated as strictly confidential and will be held by Trinity Hospice and not disclosed to any other party without your consent. Please tick below to confirm that you are over 16 before proceeding with the application form.*
- I confirm that I am over 16
Note: If you are enquiring about a placement as part of The Duke of Edinburgh's Award (DofE) for someone over the age of 14, please contact your preferred shop to determine current vacancies.

Your Details
Title*
First Name*
Last Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Enter Email Confirm Email
Do you consider yourself to have a medical condition or disability that we should be aware of?*
- Yes
- No
As you ticked 'yes', please provide details*
Keeping in Touch
We’d love to keep you updated on how your support is making a real difference to our patients and we may contact you by post or telephone to let you know about our services and other ways you can get involved. Please let us know if you are happy to hear from us by email and text.
Email and Text
- Yes, I'd like to hear from you by email
- Yes, I'd like to hear from you by text message
We promise never to sell your data. Please read our Privacy Policy for more information about how we use and protect your data.

If you would like to choose what communications you receive from us, or would prefer not to hear from us at all, please email us at enquiries@trinityhospice.co.uk or give us a call on 01253 359362.
Emergency Contact

Please provide details of a person we can contact in an emergency.
First Name*
Last Name*
Relationship to you*
e.g. Mum, friend, husband, daughter etc
Phone*

Referees

Two references are required to support all volunteer applications.

Please provide the names and addresses of two referees who have known you for at least 12 months, and tell us how they know you. Referees can be a previous/recent employer, course lecturer, someone of standing in the community or a long-standing friend, but they must not be related to you.
Referee 1 - Name*
First Last
Referee 1 - Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Referee 1 - Phone*
Referee 1 - Email
Enter Email Confirm Email
Relationship to you*
Referee 2 - Name*
First Last
Referee 2 - Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Referee 2 - Phone*
Referee 2 - Email
Enter Email Confirm Email
Relationship to you*

Criminal Offences
Applicants must not withhold information of convictions which, for other purposes, are spent. Previous convictions will not necessarily prevent you from becoming a volunteer. Please answer the questions below. All information provided to us will remain strictly confidential.
Have you ever been convicted of any criminal offence required by law to be Disclosed, received a police caution in the UK, or a criminal conviction in any other country?*

Yes

No
Have you ever been convicted of a criminal offence or received a police caution?*

Yes

No
Are you currently the subject of any police investigation and/or prosecution, in the UK or any other country*

Yes

No
Have you ever been disqualified from the practice of a profession or required to practice it subject to specified limitations following a fitness to practice investigation by a regulatory body, in the UK or any other country?*

Yes

No
Are you currently the subject of any investigation or proceedings by anybody having regulatory functions in relation to heath/social care professionals, including such a regulatory body, in any other country?*

Yes

No
Please enter you initials below to act as a signature in agreement to the following statement: " I can confirm that the answers given are correct and understand that failure to disclose relevant information may result in instant dismissal."
Signature*

Data Protection Notification
The information you have provided in completing this form will be used to process your application for volunteering with us. If you do not commence volunteering at Trinity your personal information will be confidentially destroyed within one month. If you become a volunteer at Trinity, your personal information will be held for up to 6 years. We will keep the information you have supplied to us confidential and will not divulge it to third parties without your permission, except where required by law. Access to your personal information is restricted to only those who need to view it in the course of their work.
Please enter you initials below to act as a signature in agreement to the following statement: "I have read the Data Protection notification above and understand and agree to the use of my personal data in accordance with the General Data Protection Regulations 2018."
Signature*
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Volunteer Application – Retail Roles

Volunteer for Us - Retail

Your Details

Keeping in Touch

Emergency Contact

More About You

Referees

Criminal Offences

Data Protection Notification