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Volunteer Application Form

Personal Details

General Information


Please indicate the areas of Lewis-Manning Hospice Care you would be willing to volunteer:


Reference 1 - Please fill in the details for your first Reference

Reference 2 - Please fill in the details for your second Reference

Data Protection Act 2018

We are legally obliged to hold certain information about you, such as address details. Your details will be kept securely and confidentially, and will only be used by Lewis-Manning Hospice Care . Your details will not be passed on to any other organisations without your consent. You are entitled to see any information we hold about you.

Rehabilitation of Offenders Act 1974

Due to the nature of our work, we are exempt from the 1974 Rehabilitation of Offenders Act and you are, therefore, required to declare whether you have any criminal convictions. Your declarations will be treated in strict confidence and will be considered only in relation to this application.

Disclosure and Barring Service (DBS)

As part of our compliance procedures, relevant volunteers will be subject to a disclosure and barring service (DBS) check. More information regarding the check can be found by telephoning 03000 200 190 or visiting customerservices@dbs.gsi.gov.uk. The procedure will be explained in more detail when we meet you.


Whilst working for Lewis-Manning Hospice Care as a volunteer you may see and hear things of a confidentialnature. Volunteers are required to sign a confidentiality statement not to divulge confidential information about the Hospice and its patients.

Policies and Procedures

Volunteers are expected to make themselves aware of all relevant policies and procedures.

Health & Safety

All volunteers are subject to an induction and training period. Volunteers are required to attend mandatory training.


I declare that I have read all the above notes and that the information on this form is true and complete to the best of my knowledge and belief.

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