Due to the current situation with COVID 19 we have put recruitment on hold. We appreciate your interest and support and look forward to connecting with you in the future. Please complete this application form if you are interested in becoming a Dorothy Ley Hospice volunteer and we will be in touch once volunteer recruitment resumes.

Name and address


Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.


Availability

Please indicate the days and times you are usually available to volunteer.


Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.


Agreement

Part 1: Palliative Care Volunteer Applicants are requested to provide 3 Character References as part of their application. Organizational Support volunteers are requested to provide 2 Character References. Our process is to provide applicants with a reference questionnaire and cover letter, which can then be distributed to your chosen references.

Part 2: Vulnerable Sector Police Reference Check is a requirement for any volunteer providing support to a palliative individual. The Dorothy Ley Hospice asks that you to have the check processed at your local police station and request a copy of the result for our files. You give permission for The Dorothy Ley Hospice to keep a copy of your records check on file. By clicking ‘I Agree’ below you confirm that you never been convicted of a criminal offence for which a pardon has not been granted and you give permission to The Dorothy Ley Hospice to keep a record of the results of your Police Record Check on file.

This is an application to volunteer with The Dorothy Ley Hospice for which there is no monetary compensation. I understand that the information provided in this application:
• is part of the permanent volunteer file at The Dorothy Ley Hospice
• is kept confidential in secure storage and only available to authorized Hospice staff and volunteers
• will be used to assist The Dorothy Ley Hospice in completing its volunteer screening process
• may be used for educational or evaluative means without providing any indicators

I also understand that if I am accepted as a volunteer with The Dorothy Ley Hospice I am agreeing to:
• fulfill the training requirements respective to the volunteer role and event
• attend related volunteer support & education sessions provided by The Dorothy Ley Hospice
• abide by the policies and procedures of The Dorothy Ley Hospice