Volunteer Application :: Alder Hey Children's Hospital Trust

Apply to become a volunteer

Please note: we are only able to accept applications from people 16 years of age and older.

Title *

First name(s) *

Last name *

Date of Birth (DD/MM/YY)

Address line 1 *

Address line 2

City/Town *

Postcode *

Your phone number:

Email address *

Person to notify in an emergency

First name(s) *

Last name *

Address *

City/Town *

Postcode: *

Email address

Phone number

Relationship: *

Your employment status

Employment Status:

Nationality and Immigration Status

Are you a citizen of the UK, and if not are you eligible to Work / Volunteer in the UK? *

Yes No

References

Please provide names and addresses of two referees who have known you for at least two years. These can be teachers or employers (including somewhere you have volunteered), but not friends or relatives. Please provide a current email address or mobile/telephone number, as an alternative.

Reference One

First name *

Last name *

Address *

City/Town

Postcode *

Email address *

Phone number

Relationship to you *

How long have you known this person?

Additional information? Please list here any additional information.

Reference Two

First name

Last name

Address

City/Town

Postcode

Email address

Phone number

Relationship to you

How long have you known this person?

Additional information? Please list here