Apply to Volunteer

  • Your information

  • How would you like to help?

    Let us know which types of role you are interested in by ticking one or more of the boxes below.
    Please note that roles are not always available in every area.
  • How much time can you offer us?

    Let us know which types of role you are interested in by ticking one or more of the boxes below.
    Please note that roles are not always available in every area.
  • Is there anything we need to know about you?

    Do you have any special requirements/health issues that may need specific provision or may restrict the type of volunteering you can do?
  • Please tell us about your skills and experience

    For example, how do your skills and experience fit the role description(s), do you use a computer, are you good at organising, do you enjoy speaking to groups?

    If you would like to, you can also use this space to tell us about a Willow Burn experience that you or your family have gone through and/ or what you wish to gain from volunteering.
  • Emergency Contact

    In an emergency who would you like us to contact?
  • Transport

  • Keeping in touch

  • The charity produces a regular e-newsletter to keep supporters up to date.

  • From time to time, the charity may wish to contact you about its fundraising activities.

  • How did you hear about us?

  • Criminal Disclosure

  • Referees

    Please provide contact details for two referees from people who can comment on your experience and your suitability to volunteer. Ideally these should be people you have worked for (either as a volunteer or an employee) and neither should be a relative.
  • Referee 1

  • Referee 2

  • Data protection

    Your personal details will be treated as confidential and kept for no longer than necessary. If you are accepted as a volunteer the information you have provided on this volunteer registration and monitoring information form will become part of your volunteer records which will be used to plan and record your practical involvement as a volunteer. Some of the information may be held on a computer database. During and after your volunteering we would like to send you details of our fundraising events, volunteering opportunities and keep you updated on Willow Burn activities. If you do not want to receive this information please write to Willow Burn Hospice at the address below.

    I certify that the information given on this form is correct and that should any false statements or omissions be made, a volunteer role may not be offered. Please read the declaration above and tick the following box to confirm you agree with this declaration.