Volunteer Application Form

Volunteer Role
Your details
Next of Kin Contact Details:
Health
Availability
References

Please give the names and addresses of two referees who have known you for at least two years and who are not family members.

If ‘YES’ please give details. This information will be treated in STRICT CONFIDENCE and will only be considered in relation to this application.

* Due to the nature of this type of voluntary work, it is exempt from the provisions of the Rehabilitation of Offenders Act 1975 (exemption) Order 1975. This means that applications are NOT entitled to withhold information of convictions which are spent.

DBS CHECKS: Successful candidates may be required to complete a disclosure application form (relating to unspent convictions) and produce personal identification documents. Previous spent or unspent convictions will not necessarily prevent you from volunteering with us.

In accordance with the Data Protection Act 1998, I consent to Cornwall Hospice Care holding and using my data in connection with volunteering. This information will be held securely and only accessed by authorised personnel. I hereby declare that the details on this form are, to the best of my knowledge, true and correct.