PLEASE ENSURE ALL QUESTIONS ARE ANSWERED BEFORE SUBMITTING THE FORM.
Please give details of someone you would like us to contact in the event of an emergency
School Contact:
Please give the name and address of one referee, who have known you for at least two years. They should not be relatives or partners.
Volunteering role examples: • Meet and Greet • Kindness Companion on our wards
Chest size for Volunteer polo tops and shirts/blouses
A variety of sizes are available on request.
A variety of sizes may be available on request.
Become a member | East Kent Hospitals University NHS Foundation Trust (ekhuft.nhs.uk)
Have you been immunised against:
GP/Health Professional Authorisation
The Voluntary work you are applying for involves direct contact with people who are receiving a health service, therefore all prospective volunteers will be required to complete a Disclosure and Barring Service check. In accordance with current legislation (Rehabilitation of Offenders Act 1974) volunteers are not en-titled to withhold any information about convictions which for other purposes are “spent” under the provisions of the Act. In the event of you undertaking voluntary work, any failure to disclose such convictions could result in dismissal or disciplinary action by the Trust. The disclosure of cautions or convictions may not necessarily debar for voluntary work but may influence which placements are available to you. The decision will be in accordance with our Equal Opportunities policy.
Please enter not applicable if this does not apply to you.
The NHS and the East Kent Hospitals NHS Trust are anxious to ensure that they do not discriminate against any person on the grounds of sex, race, ethnic origin or disability. Similar information is being collected about all staff members and patients. This information is used for statistical monitoring only and will not be shared with any third party without your express permission.
Ethnic Origin
I would describe my ethnic origin as:
Gender and Sexual Orientation
Disability
We aim where possible to provide equal access and equipment that ensure that volunteering is an inclusive activity. If you require any assistance, we will try to help.
Please state the type of disability / impairment which applies to you. People may experience more than one type of impairment, in which case you may indicate more than one. If none of the categories apply, please mark ‘other’.
During the course of your time in the Trust, you may acquire or have access to confidential information which must not be disclosed to any other person unless in pursuit of your duties or with specific permission given by a person on behalf of the Trust. This condition applies during your relationship with the Trust and after the relationship ceases. Confidential information includes all information relating to the Trust, its patients and employees. You may come into contact with this information through handling patient’s records, telephone enquiries about patients or staff, electronic database or methods of communication, use of fax machines, handwritten notes made containing patient information or even seeing a person who is known to you attending for treatment, etc. If you are in doubt as to what information may be disclosed, you should check with your manager. The Data Protection Act 2018 regulates the use of all personal information and together with the Computer Misuse Act 1990 provides criminal offences relating to unauthorised access to such information. Relevant details of these acts can be found in the Trust Information Security Policy, which is available in the work access or on Trustnet. If you are found to have made unauthorised access to or disclosure of personal information you may face legal action.