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refer
Apply to volunteer in a hospice
Personal details
Next of kin
Young person's consent
References
Your data
Personal details
Where are you looking to volunteer?
*
Please choose
Acorns in Birmingham (in Selly Oak)
Acorns in the Black Country (in Wallsall)
Acorns in the Three Counties (in Worcester)
Which volunteer role are you applying for?
Title
Mr
Mrs
Ms
Miss
Dr
Other
If Other, please specify
First name
*
Last name
*
Postcode
*
Find address
Enter address manually
Address
*
Please select your address
Address 1
*
Address 2
City
*
County
Country
*
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
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Angola
Anguilla
Antarctica
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Argentina
Armenia
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Belau
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Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
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Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
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Congo (Kinshasa)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
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French Guiana
French Polynesia
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Gabon
Gambia
Georgia
Germany
Ghana
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Greenland
Grenada
Guadeloupe
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Guinea
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Guyana
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Hungary
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India
Indonesia
Iran
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Ireland
Isle of Man
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Italy
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Japan
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Laos
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Mali
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Niger
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North Korea
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Norway
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Poland
Portugal
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Russia
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Saint Barthélemy
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Samoa
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Slovenia
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Somalia
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Spain
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Sudan
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Sweden
Switzerland
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Tajikistan
Tanzania
Thailand
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Tonga
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Tunisia
Turkey
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Tuvalu
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Uruguay
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Virgin Islands (British)
Virgin Islands (US)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Email address
*
Phone number
*
Date of birth
*
Do you have a current driving licence?
*
Yes
No
Do you have access to a vehicle?
*
Yes
No
Do you have any personal relationship or family connection with any of the children or young people who currently use Acorns services or who have done in the past?
*
Yes
No
If yes, please give brief details
Next of kin
First name
*
Surname
*
Telephone number
*
Relationship to you
*
Present situation
What is your present situation
*
In paid work
In education
Retired
Other
If other, please give brief details
Please indicate the length of time you are planning to support us
What is your availability each week? (Please select all which apply)
Monday AM
Monday PM
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM
Saturday AM
Saturday PM
Sunday AM
Sunday PM
Experience
Tell us about your skills, experiences and hobbies
Young person's consent
If you are aged 17 or under parent/guardian consent is required. If you are 18 or over please skip this section.
Parent/guardian name
Relationship to applicant
References
Please give the names and addresses of two referees. These cannot be a relative, partner or Acorns employee.
First referee name
*
Relationship
*
Address line 1
*
Address line 2
City
*
County
Postcode
*
Phone number
*
Email
*
Second referee name
*
Relationship
*
Address line 1
*
Address line 2
City
*
County
Postcode
*
Phone number
*
Email
*
Criminal convictions
Because of the nature of the roles for which you are applying, the post is exempt from the Rehabilitation of Offenders legislation. You must still declare any cautions, convictions or reprimands and tell us if there are any proceedings outstanding against you. In the event of employment failure to disclose such convictions could result in dismissal or disciplinary action. Any information given will be completely confidential and will be considered only in relevance to an application for positions to which the Rehabilitation Offenders Act 1974 (Exceptions) Order 1975 applies.
Do you have any unspent convictions?
*
Yes
No
If yes, please specify
*
Data contained in the application form will be held and processed for in line with the General Data Protection Regulation (GDPR) and the Data Protection Act 2018 (DPA).
Your data
Declaration confirmation
*
I confirm that all the information provided in this application is accurate and correct and has been completed by myself. I acknowledge that I have read and agree with the above declaration, and the policies that accompany this application.
Keep updated
We can only continue caring for children and families with your support. By keeping you up to date with our work, news, fundraising and ways to support, we can let you know the difference you are making.
Email
Text
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