Volunteer Application Form

Thank you for volunteering to help CHASE.

Please complete the application form below.

 
First Name(s) (required)
Surname (required)
Title (Mr/Mrs/Ms/Miss)
 
 
Address (required)
Town
County
Postcode
 
Contact details
Home telephone (required)
Work telephone
Mobile telephone
Email
 
Next of kin
Relationship
Telephone no
(if different from above)
 
Present situation
(e.g. paid work, studying, caring for dependents etc.)
Employment history
(please give name and address)
Skills and experience
(it is all important)
Interests and hobbies
(tell us about yourself)
Availability
(please tick)
  Sun Mon Tues Wed Thurs Fri Sat
Morning
Afternoon
Evening
Qualifications
(if any)
 
Please supply the names of two referees, not a relative and preferably one former work colleague (if possible)
Name (required)
Address
Relationship
Telephone no. (required)
 
Name (required)
Address
Relationship
Telephone no. (required)
 
As a condition of volunteering with CHASE we will expect you to attend training/workshop sessions as required for your chosen task.  In view of the fact that CHASE is a Children's Hospice Service, you will come into contact with children and their families.  It will be necessary for you to obtain a disclosures document from the Criminal Records Bureau.  This is a simple process that we will guide you through.