Volunteer Application Personal InformationName(Required) Prefix DrMissMrMrsMsProf.Rev. First Last Address(Required) Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email(Required) Mobile Number(Required) Alternative Number Date of Birth(Required) MM slash DD slash YYYY GenderFemaleMaleOtherPrefer not to sayAbout YouWhy would you like to become a volunteer?(Required)Do you have any medical conditions we should be made aware of?Employment StatusFull TimePart TimeSelf EmployedStudentRetiredOtherDo you have use of a vehicleYesNoDo you have a clean driving licenceYesNoDo not own / drive a vehicleYour SkillsPlease tick the boxes which apply to your skillsPlease tick the boxes which apply to your skills Administrative Support Car Park Attendant Event Set Up Leaflet Drop Manual Handling Marshalling Money Handling Organisational Skills Public Speaking Visitor Interaction Additional Skills:Additional Skills: Painting / Carpentry Crafts / Sewing Cooking / Baking Gardening Corporate VolunteeringPlease complete this section only if you are a corporate volunteer employed by a company that is a charity partner of Salisbury Hospice Charity.Please complete this section only if you are a corporate volunteer employed by a company that is a charity partner of Salisbury Hospice Charity.Please complete this section only if you are a corporate volunteer employed by a company that is a charity partner of Salisbury Hospice Charity. I am a corporate volunteer Not applicable Company Name How many volunteer days does your company provide each year?Enter how many days if known Would you like to receive updates on future volunteering opportunities with the charity?YesNoReference 1Name(Required) First Last Email Phone Number Relation Reference 2Name(Required) First Last Email Phone Number Relation Additional InformationHow did you hear about us?WebsiteSocial MediaEvent PromotionWord of MouthLeafletsOtherWould you like to receive the following:Would you like to receive the following: Monthly E-News Twice yearly newsletter Events / Special Early Bird Prices None of the above Photo / Video Consent(Required)We occasionally have professional photographers or videographers at events, campaigns, cheque presentations, and talks to capture special moments. Please let us know if you consent to being photographed or filmed by our media team.YesNoAs a volunteer, you may be required to participate in group training sessions. These sessions are an excellent opportunity to acquire new skills, learn about the Hospice / Charity, and meet the team.(Required) I am happy to attend training sessions Δ
