Volunteering at Farleigh

Where did you hear about the position?

Farleigh Hospice Website

Radio

Word of mouth

Social Media

Recruitment Website

Existing employee

Newspaper

Other

Role applied for* This field is required.

Title* This field is required.

Miss

Mrs

Full Name* This field is required.

First Name(s)

Last Name

What is your gender?

Address* This field is required.

Street Address

Street Address Line 2

Town/City

County

Post code

Country

Date of birth* This field is required.

Email address* This field is required.

Please enter your email

Your contact number* This field is required.

Area Code

Phone Number

Emergency Contact* This field is required.Please enter details about your emergency contact

Name

Contact Number

Relationship to you

What attracted you to volunteer at Farleigh Hospice* This field is required.

Please outline your skills, experience and personal qualities, and how these might help you fulfil a volunteering role* This field is required.

Computer skills and experience are useful for some roles. Please identify your skills and experience* This field is required.

No computer skills/experience

Basic computer skills/experience

Advanced computer skills/experience

Are you applying for a role in one of our shops?* This field is required.

YESNO

Please select the shops that you're willing to volunteer in

Boreham

Broomfield Road

Maldon (Clearance Warehouse)

Galleywood

Heybridge

Maldon High Street

Gloucester Avenue

Moulsham Street

South Woodham Ferrers

Southminster

Witham

Writtle

Full Circle - Chelmsford High Street

Witham Warehouse

Please identify when you could be available to volunteer in our shops

Monday (morning)

Monday (afternoon)

Tuesday (morning)

Tuesday (afternoon)

Wednesday (morning)

Wednesday (afternoon)

Thursday (morning)

Thursday (afternoon)

Friday (morning)

Friday (afternoon)

Saturday (morning)

Saturday (afternoon)

Sunday (morning)

Sunday (afternoon)

If you are only able to volunteer occasionally, please let us know.

Reference 1* This field is required.

Referee name

Referee 1 - continued* This field is required.

Relationship to you

Can we approach them before your interview?

Reference 2* This field is required.

Referee name

Referee 2 - continued* This field is required.

Relationship to you

Can we approach them before your interview?

Do you have a disability, health concern or any requirements/adjustments needed?* This field is required.Please provide brief details, or if you'd prefer, we can call you to discuss

Yes

If selected yes, please provide brief detailsIf you selected no, please skip this question

Do you have any criminal convictions, bind-overs, warnings or reprimands?* This field is required.

YESNO

PLEASE NOTE:

Farleigh Hospice will collect, store and use the information provided by you on this application form for recruitment and selection purposes. You have the right to ask to see this data if you wish.

I declare that the information which I have given in this application form is true and complete. I understand that if it is subsequently discovered that any statement is false or misleading, this may result in my being asked to discontinue volunteering with Farleigh Hospice.* This field is required.Please use your mouse or finger to sign in the box below.

Clear

Sign-up to receive the latest news and information on how to get involved with our fundraising, events and volunteering (Optional)In addition to contacting you with administration information, 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 can easily update your communication preferences or unsubscribe at any time by emailing communications@farleighhospice.org. You may still receive relevant communications related to your application and role with us.

Mail

Phone

Text (SMS)

Would you be interested in supporting our fundraising team at occasional events - i.e at street collections once a year, or helping at our mass participation events as an events marshall?

YESNO

Volunteering at Farleigh