Apply - Prospect Hospice

Name*

Email*

Address*

Address line 1 Address line 2 Town/ city Post code

Telephone*

Date of birth*

Please note you must be at least 14 to apply to volunteer at Prospect Hospice.

Employment status*

Are you looking to volunteer as part of the Duke of Edinburgh Award?*

Yes
No

Which role(s) are you interested in?*

When are you available to volunteer?*

Please note down, the days and times you would be available such as Thursday mornings, weekends, etc.

Why would you like to volunteer at Prospect Hospice?*

What skills and experience will you bring to the role?*

In the last two years, have you experienced the death of someone close to you? If yes, please share below some brief details.*

How did you hear about volunteering at Prospect Hospice?*

Please supply the details of two referees who you have known for at least two years. These should not include relatives or members of your household and both must be at least 18 years of age. Please advise them that Prospect Hospice will be contacting them for a reference.*

Please supply their name, address, telephone number, email address and relationship to you.

Rehabilitation of Offenders Act 1974 (Exceptions Order 1975)

The Rehabilitation of Offenders Act helps rehabilitated ex-offenders back into work by removing the need for them to declare criminal convictions after the rehabilitation period set by the Court has elapsed and the convictions become "spent". During the rehabilitation period, convictions are referred to as "unspent" convictions and must be declared to employers. Prospect Hospice undertakes not to discriminate unfairly against applicants on the basis of a criminal conviction or other information declared. If you are applying for a role involving access to persons in receipt of health services, your offer of placement may be subject to a satisfactory disclosure from the Disclosure and Barring Service (DBS). Failure to reveal information relating to any convictions could lead to withdrawal of a volunteering placement. In order to protect certain vulnerable groups within society, there are a number of roles at Prospect Hospice that are exempt from the provisions of the Rehabilitation of Offenders Act 1974. If the role you have applied for falls within this category, it will be exempt from the provisions of the Rehabilitation of Offenders Act by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants for such roles are not entitled to withhold any information about convictions or other relevant criminal record information which for other purposes are "spent" under the provisions of the Act. Any information provided will be confidential and will be considered only in relation to roles to which the Order applies. From 12 October 2009 under the terms of the Safeguarding Vulnerable Groups Act (2006), all positions involving regulated and certain controlled activity with children and vulnerable adults and which are carried out frequently, intensively or overnight will require an enhanced Disclosure and Barring Service (DBS) check. You will be advised whether the role for which you are applying is exempt.

Are you currently bound over or do you have any unspent convictions issued by a Court or a Court Martial in the UK or any other country? If your answer is yes, we will discuss this with you at a later stage.*

Yes
No

Declaration

Information from this application may be processed for purposes permitted under the General Data Protection Regulation. Individuals have, on written request, the right of access to personal data held about them. Prospect Hospice treats personal data collected during the recruitment process in accordance with its data protection policy. Information about how your data is used and the basis for processing your data is provided in the privacy notice.

Please check the boxes below to confirm:*

I give my consent to Prospect Hospice processing the data supplied in this application form for the purpose of recruitment and selection.
I declare that the information I have given in support of this application is, to the best of my knowledge and belief, true and complete. I understand that if it is subsequently discovered that any statement is false or misleading, or that I have withheld relevant information, my volunteering placement may be withdrawn.

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Apply to be a volunteer

Apply to be a volunteer with Prospect Hospice

A brief summary of the application process

Expression of interest in volunteering with us

Rehabilitation of Offenders Act 1974 (Exceptions Order 1975)

Declaration