Patient-facing Volunteer Application Form

Apply for volunteer roles

Please complete the form below to apply for the volunteer role(s) of your choice. If you have any difficulty completing the form, please email us on volunteer@hospicesheffield.co.uk

Required fields are marked with *

Personal Details

Title *

First Name *

Address Line 1 *

Town / City *

Email *

Date of Birth *

Surname *

Address Line 2

Postcode *

Telephone *

How would you prefer the Volunteer Team at St Luke’s Hospice to keep in touch about your volunteering role?

Contact - Text

This may include updates about your volunteering role, rota changes, and other important information.

Choosing to receive updates by email helps us reduce postage and printing costs while ensuring you stay informed quickly and conveniently.

Select Choices *

Phone

Emergency Contact Details

Title *

First Name *

Relationship To You *

Surname *

Telephone *

How would you prefer St Luke's to keep in touch about our work?

KIT - Intro

This may include news such as our work, future fundraising events and how your support helps.

Select Choices *

Phone

KIT - Text

We may also contact you by post and telephone with information regarding your role, as well as our work and how you can further support us. To opt out, please contact us on 0114 235 7639 or email volunteer@hospicesheffield.co.uk

We will never sell or swap your details with other organisations for them to use for their own purposes, and you can opt out of communications by contacting us at any time.

If you want to know more about how we look after your data, please see the privacy notice which is available on our website.

Availability

Availability - Intro

Please select your preferred volunteering day(s). Flexible shifts available.

Select Choices

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

About You

Tell us a bit about yourself and why you would like to volunteer *

Do you have any skills, hobbies or interests that might be useful? *

Do you have a close personal contact who is a staff member or volunteer at St Luke’s? *

Have you experienced a bereavement in the past 12 months? *

Do you have any health issues, disabilities or additional support needs we should be aware of? *

Please name if 'Other'

Our Current Opportunities

Current Opportunities - Intro

Please select which volunteer role(s) you would like to apply for, and state your area of interest below.

Patient-facing role at Little Common Lane (this may include roles such as Hospitality, Reception, Companion)

Non-patient facing role at Little Common Lane (this may include roles such as administration & data support, catering support, actor support, facilities or grounds maintenance)

Specialist roles across St Luke’s (Please note all these roles require certain qualifications (this may include roles such as Hairdresser, Beauty Therapist, Complementary Therapist)

Client-facing roles at Ecclesall Road South Building (this may include roles such as Reception, Arts & Crafts, Café support, General Activities around the building)

Role of interest

Role Descriptions - Text

Role descriptions

We recommend reading the role profile of any roles that you’re interested in before applying. You can find these by clicking here. If you can't find the area you are interested in, please email volunteer@hospicesheffield.co.uk who will be happy to help.

Please note that while we always try to match volunteers with their preferred area, sometimes a role may not be taking new volunteers. If that happens, we’ll do our best to offer you another role where you can make a difference.

References

Reference 1 - Text

You should have known your referee for at least 6 months. This could be a teacher, friend or neighbour. Please don't use a relative.

Referee one

Relation To You *

First Name *

Title *

Surname *

Telephone *

Email *

Reference 2 - Text

Referee two

Relation To You

First Name

Title

Surname

Telephone

Declarations

Data Protection - Text

Data Protection

Your details will be kept in accordance with the General Data Protection Regulation (GDPR). They will be held securely and confidentially. I have read and understood the information above and agree to the use of my personal data in accordance with GDPR.

Data Protection - Check *

I agree

DBS Checks - Text

Disclosure & Barring Service (DBS) Checks

St Luke’s meets the requirements in respect of exempted questions under the Rehabilitation of Offenders Act 1974. This will include details of cautions, reprimands, final warnings and convictions. Dependant on the volunteering role you will be subject to a DBS check. St Luke’s abides by the strict DBS Code of Practice with regard to disclosures whereby any conviction would not necessarily bar you from volunteering.

Have you ever received a caution, warning, or been convicted of a criminal offence? *

Yes

If 'yes', please give details

General Declaration - Text

General Declaration

I confirm that all details supplied on this form are true and complete to the best of my knowledge and I recognise that failure to declare any relevant information or to supply the details required may result in my volunteer role with St Luke's being discontinued.

General Declaration - Check *

I agree

Equal Opportunities

Private Confidential - Text

PRIVATE AND CONFIDENTIAL

St Luke's is committed to ensuring equal opportunity in its volunteer recruitment practices. As part of our monitoring process we ask for your co-operation in completing the questions on this form. We wish to give you the following assurances:

The information provided will not be used as part of our selection process. Your responses will be separated from the application and will not be shared with the recruiting manager.
The information provided will be regarded as confidential and will only be used for monitoring and planning purposes.
Should you choose not to complete this form it will not affect your application.

Other Sexual Orientation

Other Gender Identity

Other Ethnicity

Other Nationality

Turnstile *