Volunteer Application Form

Availability

Reasons for volunteering

Previous experience and skills

Health

Please be aware disclosures are strictly confidential. Where a health disclosure is made and to ensure volunteering is accessible, applicants will be referred to our occupational health advisor to ensure reasonable adjustments can be made in your role and work area.

References

Please give the names and addresses of two people, who know you in a professional capacity, who have given their permission to be approached for a reference. They should not be related to you and should have known you for at least a year.

In case of emergency

Disclosures

ROYAL TRINITY HOSPICE EQUALITY & DIVERSITY MONITORING FORM - VOLUNTEERS

EQUALITY & DIVERSITY POLICY

At Royal Trinity Hospice we are committed to eliminating discrimination and encouraging diversity amongst our workforce. Our aim is that our workforce will be truly representative of all sections of society and that all employees, volunteers, patients and visitors feel respected, and able to give of their best. We aim to create an environment in which individual differences, and the contributions of all our staff, are recognised and valued.

To that end the purpose of this policy is to provide equality and fairness for all, and not to discriminate on grounds of gender, gender reassignment, marital status (including civil partnerships), pregnancy or parental status, race, ethnic origin, colour, nationality, national origin, disability, sexual orientation, religion, age. We oppose all forms of unlawful and unfair discrimination.

ABOUT THIS FORM

In order that the Hospice can monitor its success in meeting this commitment, you are requested to complete this equality and diversity monitoring form by providing information on your ethnic origin, whether you are affected by disability and also details of nationality. The information that you provide will be treated as strictly confidential and will not be used to assess your suitability for the post. The data is being requested for monitoring and statistical purposes only and to assist Trinity in meeting statutory and other obligations.

For further information about how we use and share your data please see www.royaltrinityhospice.london/privacy

You do not have to answer these questions and it will not affect your application. This page will be kept separately from your application form.

This form is confidential. For further guidance about this form please read the note above.

1. Personal details

2. Ethnic Origin

3. Disability

Trinity is committed to providing an environment which is open to all and to respond, as appropriate, to the needs of people with disabilities. Any adaptations or modifications required as a result of a disability will be considered after the interview process.

4. Sexual orientation