1. CONTACT DETAILS

2. Referees: Please give name and contact phone number of two referees not related to you. They will be contacted by us

5. Health Status:

6. We understand that people's situation and responsibilities do change which may affect your capacity to volunteer. Should this happen we ask that you:

• Inform your manager that you will no longer be available
• Complete an exit interview which will assist us to ensure the volunteering experience is positive
• Return any uniforms or other hospice property

7. HOSPICE SERVICE

9. Driving Details:

10. Safety Issues:

11. HOSPICE SHOP SERVICE

Preferred Times:

12. AGREEMENT

Following a personal interview with the Eastern Bays Hospice Volunteer Resource Manager, and, if we both  conclude it is appropriate for me to proceed with this application to become a volunteer, I agree to;

• Meet the dove house Coordinator or Shop Manager
• Attend an Eastern Bays Hospice Volunteer Training Day
• Attend at least the first combined Mercy and EBH Training Programme
• Enter into the EBH volunteer Contract
• Allow my name and phone number to be used with discretion for appropriate use (eg, rosters) within Eastern Bays Hospice
• The Volunteer Resource Manager running a police check if deemed necessary