APPLICATION FORM Thank you for your interest in Volunteering at our Hospice Please can you complete the short Application Form below and return to:- Helena Smith - , East Cheshire Hospice, Millbank Drive, Macclesfield SK10 3DZ Personal Details Title: Forename(s) Surname: Date of Birth Address: Home Telephone: Mobile Telephone: Work Telephone: email: Postcode: Emergency Contact Details Name: Mobile Telephone: Relationship to you: Home Telephone: Health Please detail any health issues which may affect your placement within the hospice Previous employment or voluntary work, skills and interests. This will help us to find a suitable placement within the hospice Hospice Opportunities - please tick possible interests Sunflower Ward Assistant Hospice Shops Ebay Centre Fundraising Flower Admin Clerical Day Care Alternative Arranging Driver Therapies Dementia Claritas Choir Reception Bereavement Buddy Support References Please can you supply us with two references to save delays we would like to contact your –
APPLICATION FORM Thank you for your interest in Volunteering at our Hospice Please can you complete the short Application Form below and return to:- Helena Smith - , East Cheshire Hospice, Millbank Drive, Macclesfield SK10 3DZ Personal Details Title: Forename(s) Surname: Date of Birth Address: Postcode: Home Telephone: Mobile Telephone: Work Telephone: email: Emergency Contact Details Name: Mobile Telephone: Relationship to you: Home Telephone: Health Please detail any health issues which may affect your placement within the hospice Previous employment or voluntary work, skills and interests. This will help us to find a suitable placement within the hospice Hospice Opportunities - please tick possible interests Sunflower Centre Ward Assistant Hospice Shops Ebay Fundraising Flower Arranging Admin Clerical Day Care Driver Alternative Therapies Dementia Buddy Claritas Choir Reception Bereavement Support References Please can you supply us with two references – to save delays we would like to contact your
Volunteer-Application-Form.25-Oct-2016.docx