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VOLUNTARY WORK APPLICATION FORM – CONFIDENTIAL
Please note: Volunteers must be a minimum of 17 years of age, 18 years for some
areas and must be able to give a minimum commitment of 6 months.
On-site car parking is not guaranteed.
Please indicate below which Hospital you wish to volunteer at:
DIANA PRINCESS OF WALES HOSPITAL, GRIMSBY
SCUNTHORPE GENERAL HOSPITAL
GOOLE AND DISTRICT HOSPITAL
Area in which you wish to volunteer (e.g. ward helper, administration, reception).
YOUR PERSONAL DETAILS
Miss/Ms/Mrs/Mr/Dr/Other
First Name:
Middle Name:
Surname/Family Name
Gender:
Date of Birth:
Home Tel No:
Mobile No:
Address:
Post Code:
Email address:
OCCUPATIONAL DETAILS (E.g. Previous employment, Voluntary Work)
DATES
OCCUPATION/VOLUNTARY WORK