Shop Volunteer Application Form

Your details
Your name*

TitleFirst nameLast name
Email*
example@example.com
Mobile*
Please enter a valid mobile number.
Telephone
Please enter a valid mobile number.
Address*

Address Line 1

Address Line 2

CityCounty

PostcodeCountry
Date of birth*

DayMonthYear
Emergency contact

We hope it will never be necessary to use this information, but if something should happen to you whilst you are at St John’s we need to know who to contact.
Name*

TitleFirst NameLast Name
Email*
example@example.com
Mobile*
Please enter a valid mobile number.
Telephone
Please enter a valid mobile number.
Volunteering at the shop
How did you hear about this role?*
If other, please give details.
Please tell us why you would like to volunteer at our shop and any particular skills you can bring to our team.*
Do you or anyone you know have any previous connection to the hospice?*

YesNo
If yes, please provide brief details including dates.
Please list brief details of any relevant work or voluntary experience starting with the most recent.*
Please list your skills and interests.*
We will use this to check suitably within the role and team.
Languages spoken*
Please note you will need to have a good command of the English language to be considered for this role.
Are you required to have a work permit to work in the United Kingdom?*

YesNo
Do you have any medical conditions (physical/ mental) that should be taken into account when assigning you a volunteer role?*

YesNo
If yes, please provide brief details.
We ask this as we want to ensure we would be able to support you as much as possible in your volunteering.
Do you have any previous/unspent criminal convictions?*

YesNo
If yes, please provide brief details.
Having a conviction will not necessarily stop you from volunteering but will need to be taken into consideration when assessing your suitability.
Your availability

Please state your current availability, marking all days you could volunteer and letting us know how long you can currently commit to volunteer for.
Monday

MorningAfternoonAll day
Tuesday

MorningAfternoonAll day
Wednesday

MorningAfternoonAll day
Thursday

MorningAfternoonAll day
Friday

MorningAfternoonAll day
Saturday

MorningAfternoonAll day
Sunday

MorningAfternoonAll day
How long can you commit to volunteer for?*
Please be aware we ask for a minimum of 3 hours a week for 6 months.
Your references

Please give the names and contact details of a person who has given their consent to be contacted. If possible, one referee should be someone who has known you personally, but not a member of your family, for at least three years.
Name*

TitleFirst NameLast Name
Capacity known to you*
Email*
example@example.com
Mobile*
Please enter a valid mobile number.
Telephone
Please enter a valid mobile number.
Address*

Address Line 1

Address Line 2

CityCounty

PostcodeCountry
Keeping in touch

We want to reach, connect and support more people, ensuring that everyone in our community can live well for as long as possible. We can’t do this without the help of our supporters and volunteers, which is why we’d like to keep in touch with you about our work, news and the various ways you can support us. Please confirm below what you would like to hear from us about and how you would prefer to be contacted.
I am happy to be contacted by email:*

YesNo
I am happy to be contacted by post:*

YesNo
I am happy to be contacted by phone:*

YesNo
You can change the way you hear from us at any time by emailing us or calling 020 7806 4011. Please also see our Privacy Policy for how we collect, use and look after your information.
Should be Empty:

Your details

Emergency contact

Volunteering at the shop

Your availability

Your references

Keeping in touch