Volunteer Form

Please complete volunteer application form below.

If you are unsure which role is right for you can register your interest by completing this form. We will be in contact to discuss what would be best for you.

Fields marked with an * are required

Personal Details

Emergency Contact Details

What role(s) are you interested in?

When are you able to volunteer? 

Reference Details - Hospice roles require 2 references ALL other roles require 1.

Reference 2 (for those applying for hospice roles only)

Additional Information

GP Information ( Your GP will only be contacted with your permission)


If Yes please give details on a separate sheet and enclose with this application. The information will be treated in strict confidence.

Under the Rehabilitation of Offenders Act 1974, you are required by these provisions to declare all criminal convictions however long ago these occurred. Disclosure of an offence will not necessarily be a barrier to becoming a volunteer with us.

DBS checks: successful candidates may be required to complete a DBS check and personal identification documents will be needed as part of this process.

Need Help?

Call our Volunteer Services Coordinator on 01726 65711