State of Women in Africa   ||  Events  ||   African Women & The Diaspora  ||   Country Report
 

Click here to Download Membership Form

Please complete this volunteer form; alternatively, you can print out the application form and post it to the address at the contact us  page.

Title (Mr, Mrs etc)
First name
Surname
Tip: Recommended web forms software
Ever needed web forms software for your website? We recommend Emailmeform, a web forms software that you can use to create web forms easy in a few steps. No need to learn HTML or PHP!
Address

Town / City
Postcode
Telephone
Mobile telephone
How long have you lived at this address?
e-mail
NI Number
Do you own a full driving license? (Yes/No)
Please tell us why you wish to be a volunteer with the Accord Hospice.


Please tell us what skills and qualities you feel you can bring

Any area of special interest (e.g. mental health, drugs and alcohol, young people, women’s issues etc).

Experience and/or Employment (Any experience or employment you feel may be relevant, but don't worry if you can’t think of anything)
Education and Training (Please provide details of any education or training courses or qualifications - dates and College details.

At what times will you be available for volunteer work? (Flexible / prefer weekends / prefer daytime / prefer evenings). Give any other details you think relevant

Where did you hear about us?
Please give details of 2 referees who can comment on your suitability for volunteering.

1 - Name Position Address Telephone

2 - Name Position Address Telephone

Disclosure: If you have been convicted of any offence which is not considered “spent” please give details.  Volunteers work with vulnerable people and will therefore be Police Checked.

 
Image Verification
Please enter the text from the image
[ Refresh Image ]