Hospice Volunteer Application Form

Whether you see yourself directly supporting patients on our inpatient unit or at our Wellbeing Hub, helping to maintain our beautiful Garden of Tranquility, or welcoming visitors on one of our reception desks, we have a role for you!

Fill out our form to let us know a little bit about you, and where you'd like to volunteer. A member of our Volunteering team will contact you to discuss the next steps.

**If you would prefer to download a copy of the application form instead, please click here.**

Your Details
What is your availability? (please tick any times that you would be available to volunteer)
Preferred Day (tick all that apply)
Preferred time of day (tick all that apply)
Which areas of the hospice are you interested in volunteering in? (Please tick any you would consider)
Area of interest
Your first referee
Please give the names and postal addresses of two referees who have known you for at leasttwo years (i.e. past employers, teachers, colleagues or friends (over 18) but not relatives). Students: please note that one reference must be from your current school/college
Your second referee
How did you hear about volunteering for Bolton Hospice?
Please select where you heard about this volunteering opportunity
Rehabilitation of Offenders Act 1974 (Exemption Order 1975)
Voluntary positions that provide care or support to patients (including driving patients), and bereavement support roles are exempt from the Rehabilitation of Offenders Act and you are therefore required to give details of all previous criminal convictions whether spent or not.  Applications for these roles will be subject to a Criminal Record Bureau Enhanced Disclosure.
Criminal records will be taken into account for recrtuitment purposes only when the conviction is relevant.  Disclosure of a conviction will not necessarily disqualify you from volunteering.  Any information will be treated in the strictest confidence.
Have you ever been convicted in a court or received a caution, reprimand and/or warning by the Police?
Are you the subject of an ongoing criminal investigation or prosecution?
Work Permit
Keep in touch
Mailing List Preferences
We’d like to contact you with information about upcoming fundraising activities and how your support is helping. Please tell us if you are happy for us to do this (tick relevant boxes):
Mailing List Preferences - Postal
We might also send this information in the post – if you don’t want to receive this please tick here:
You can change your contact preferences at any time by calling us on 01204 663 066 or emailing fundraising@boltonhospice.org

The personal information you have provided to Bolton Hospice will be processed in accordance with current UK data protection legislation and our privacy policy which is available to view at www.boltonhospice.org.uk/privacy-policy or upon request.

The main purpose for which we process your personal information is to administer your volunteer enquiry but for further information please see our privacy policy. Your information will be held securely and we will never sell it to anyone else.

Data Protection Act 2018 and UK General Data Protection Regulations
The General Data Protection Regulation Article 6 legal basis for processing the personal information submitted on this form is that you have provided consent for us to do so. The General Data Protection Regulation Article 9 legal basis for processing the special category personal information submitted on this form is that you have provided explicit consent for us to do so.  It will be retained for the duration of your volunteering application and relationship with Bolton Hospice for this purpose, and for 6 years following the end of your volunteering with us, in line with our Privacy Policy. 

You can see our full privacy policy on our website: www.boltonhospice.org.uk

You have the right to correct, erase, have access to and restrict our use of your information. In order to exercise any of these rights, please contact us.
If you are unhappy about the way in which your information is processed, you have the right to contact the Information Commissioners Office: https://ico.org.uk/global/contactus

Confidentiality of Information
All matters relating to the internal affairs of Bolton Hospice must be confidential and on no account should this confidence be betrayed.  Any departure from the foregoing standards of confidentiality will be regarded as gross misconduct, which could lead to immediate dismissal from your voluntary role. Information concerning patients must only be given to relatives by a member of the Clinical Team and must not be shared external to the Hospice.  Should the Police or Press wish for information they should be referred to the Chief Executive or the Senior Management Team of Bolton Hospice.
  • I declare that I have read and understood this statement and will abide by the above.
  • I declare that the information contained in this application form is true and complete to the best of my knowledge and I understand that any false information may result in me being asked to cease volunteering with the hospice.