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Volunteer Form

Volunteer Application Form 2025

Thank you for applying to be a volunteer with Healthwatch North Lincolnshire. We ask that you fill in this application form so that we can learn about the skills and experiences you have to help us in our work and also find out more about you and what you would like to get out of volunteering for Healthwatch North Lincolnshire. If you have any problems filling in any part of the form or have any queries about volunteering with us, please contact us on 01724 844986 or email enquiries@healthwatchnorthlincolnshire.co.uk and we will be happy to help. Once submitted, we will contact you to arrange an informal chat to discuss volunteering with us and what happens next. All information provided in the application form will be treated as confidential and used only for the purposes of selection to be a volunteer and will be seen by those directly involved in the volunteer recruitment process. Please note: If you are under 18 then the parent and guardian consent form will need to be completed. Thank you again for applying to volunteer with Healthwatch North Lincolnshire.

Name(Required)
Address(Required)
Date of birth (optional)
Are there any specific areas of volunteering you are interested in?(Required)
Please tick all that apply
This could include – Previous voluntary work – Skills you feel are able to bring to Healthwatch – Relevant work experience – Personal qualities – Qualifications or courses that you feel are relevant
Please let us know your availability to volunteer with us(Required)
This can be updated/changed at any time
E.g. if you are a local councillor
Have you ever been convicted of a criminal offence?(Required)
Declaration subject to The Rehabilitation of Offenders Act 1974
In support of your application, we will need to contact two people who would be able to provide a reference for you. Are you happy to do this?(Required)
If yes, we will collect reference details at a later date
Declaration(Required)
The information in this application is true and accurate. I understand that any failure to declare relevant information or to provide false information could result in my application being rejected and my volunteer role being withdrawn.
If appointed:(Required)
I agree to abide by the requirements for good volunteer conduct; follow Healthwatch policies; act in the best interest of Healthwatch North Lincolnshire. I understand that if I am accepted as a volunteer this will be subject to receipt of two satisfactory references and if required for the role, a satisfactory Disclosure and Barring Service (DBS) check.
I understand and agree:(Required)
As part of volunteering for Healthwatch North Lincolnshire, my details will be held in a confidential database that will only be used for reasons relating to my volunteering and this form will be filed in my confidential personnel file. All information will be held in accordance with The Data Protection Act 2018 and GDPR.
How would you like us to contact you?(Required)
How did you hear about volunteering with us?(Required)