Volunteer Application Form

Thank you for showing your interest in volunteering with us.

Please complete the below application form.

Our 3 step recruitment process is comprehensive but fair, and we want to encourage a broad range of volunteers as this will bring extra diversity and skills to our services. The minimum age is 16 and due the current government guidelines we cannot accept applications from anyone in a high risk group.

Complete the application form.

We will then send you relevant information and forms such as, Occupational Health, and
Equality and Diversity forms. We may also require a Disclosure and Barring check
(formerly CRB). You’ll also need to take and send us a colour photograph
of head and shoulders for your Volunteers badge.

If you do not have a five year UK address history, a Certificate of Good Conduct from your
country of origin or embassy will also be required.

Under 18’s will also be sent a form for Parent/Guardian authorisation.

Informal interview followed by a compulsory training session before your volunteering role
begins. (Due to Covid – 19 we are using technology such and Zoom and Facetime to operate
our interviews and training. We can discuss how this works best for you).

If you want to find out more about volunteering before you apply to Sussex Community NHS
Foundation Trust, please contact our Voluntary and Community Development team::

Brighton and Hove - 01273 242191

West Locality - 01273 696011 ext.8135

High Weald, Lewes and Havens - 01273 666498

Central Locality - 01293 301001

Please ensure that referees, emergency contacts & Health Visitors (if appropriate) have been informed that we will be holding their information.

All mandatory fields are highlighted with *

Title *

First name *

Surname *

Home address *

Town/city *

County *

Postcode *

Contact number *

Email address *

Please select (you can select more than one) your preferred method of contact. *

Email
Post
Telephone

Emergency Contact

Emergency contact name *

Emergency contact relationship *

Emergency contact number *

About You

Where you would like to volunteer?

Area

Brighton and Hove
Central (Crawley - Horsham and Haywards Heath)
High Weald Lewes and Havens (Lewes - Chailey - Uckfield and Crowborough)
West (Arundel - Bognor - Rustington and Worthing)

Have you previously applied to volunteer for SCFT? *

Yes
No

If yes, please let us know any support needs, or disabilities you may have which you would like to make us aware of. If you would like to discuss this please call 01273 696011 ext. 8135. If you would like any reasonable adjustments made for the interview, please let us know prior to the interview. Any adjustments made will not have any bearing on the outcome of the interview.

How did you hear about Voluntary Services at SCFT? *

Relevant skills/experience: In no more than 200 words, please tell us your reasons for wanting to volunteer with Sussex Community NHS Foundation Trust. *

Please record details of your current employer/college/career/life history for the past five years. *

Are there any adjustments that need to be taken into account for you to volunteer for this organisation? *

Yes
No

Availability

We generally ask our volunteers to attend on a regular basis, usually weekly. Most of our volunteer opportunities occur Monday - Friday during working hours, although some opportunities are available at weekends and early evenings. Please let us know your availability below, if known.

References

Please provide details of two people from two different organisations to whom we may write for a reference. These should be recent contacts, one should be known to the applicant for at least two years and one should be a professional reference if possible. Family members are not acceptable referees. It is useful for one referee to be a previous or current employer. For applicants who have not recently been in employment there are a number of individuals who could act as referees. These include: religious or cultural leader, teacher or tutor, case worker, community or social worker, family doctor.

Reference one

Reference *

Address *

Town/city *

County *

Postcode *

Contact number *

Email address

Relationship *

Length of time known *

Reference two

Reference *

Address *

Town/city *

County *

Postcode *

Contact number *

Email address

Relationship *

Length of time known *

Residency

Are you a United Kingdom (UK) European Community (EC) or European Economic Area (EEA) National? *

Yes
No

Please supply details of any Visa currently held below.

Visa number

Start/expiry date

Any restrictions

Please read the below statement

I confirm that the information that I have provided in this application form is correct and complete. I understand and accept that if I knowingly withhold information or provide false information this may lead to my application form being rejected.

Non-compliance with policies and procedural documents can affect patient safety, SCFT’s compliance with the Care Quality Commission (CQC) regulations, NHS Litigation Authority standards, and audits or inspections carried out by internal and external auditors and that a breach of Trust policies and procedures could be considered gross misconduct and may lead to dismissal and in some cases criminal prosecution.

I understand that during my voluntary work within the Trust, I may have access to information designated by the Trust as being of a confidential nature. I must not divulge, publish or disclose such information without prior written consent of the Trust. Improper use or disclosure of confidential information will be regarded as a serious disciplinary matter under the provisions of Data Protection Laws and must be reported.

I confirm that I have read the Volunteer Privacy Policy and DBS Privacy Policy.

I undertake to conduct myself in a responsible manner whilst on the hospital premises, to endeavour at all times to serve the patients and to work to foster good volunteer/staff relationships. I have read and understand the Volunteer agreement and Privacy Notice.

I confirm and understand the above statement.*

Data Protection

As an NHS Trust, we keep information about you for administrative purposes and this information is held confidentially and securely. The handling and processing of personal information is strictly controlled by Data Protection Laws.

Please read the SCFT Privacy Notice document.

I confirm I have read and understood the Data Protection document.*

Media Consent

I give my consent to being photographed/quoted by Sussex Community NHS Foundation Trust (SCFT) and can be used for a number of media channels including:

- For use on SCFT website, social media and intranet (Pulse)
- External/third party website(s)
- Press release and/national/local media
- Related materials e.g. patient leaflet

Media consent *

Yes
No