Gate 1, Southland Hospital Grounds, Elles Road, Strathern, Invercargill 9812

(03) 211 3082

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Volunteer Application

Home Volunteers Volunteer Application

To apply to join the Volunteer team at Hospice Southland please fill in the following form.

If you have any questions please contact us.

Personal Details

This information is required for a police check

First Name *

Surname *

Date of Birth *

Sex *MaleFemale

Address *

City *

Postcode

Email Address *

Phone *

Occupation *

Age Group *Under 2021 - 2526 - 4041 - 5556 - 7070+

Areas of InterestHouse Team: Kitchen assistants and cleaners help to prepare patient meals and maintain a comfortable environment.Day Program Team: Host patients who live in the community at the hospice for a social day out.Living Legacies Team: Assists patients to record their life history and experiences, or with projects to pass on their skills or knowledgeFundraising and Events Team: Assist with organising a variety of community events.Gardening Team: Help to maintain our beautiful hospice grounds.Administration Team: The heroes who help us win the paper war.Hospice Shop Team: Help turn seconds hand goods into first class careCommunity Support: Companioning patients in the community (homes/rest homes)

Privacy Statement and Consent to Police Check

The information that you supply will be used by Hospice Southland to consider your suitability for a volunteer position and will be held securely by Hospice Southland.
No information that you have provided will be disclosed without your authorisation except as required by law.
You have a right to access personal information held by Hospice Southland.
I consent to the disclosure by the New Zealand Police any information they may have pursuant to myself, to Hospice Southland Charitable Trust. I understand that any record of criminal convictions I might have will automatically be concealed if I meet the eligibility criteria stipulated in Section 7 of the Criminal Records (Clean Slate) Act 2004.
Vaccination status: I agree to provide my up-to-date Covid-19 vaccination status to Hospice Southland and that it complies with government orders.

Declaration *I declare that all information provided by me is true and correct

Date *

If you have any queries regarding this application, please contact us

Address:
Hospice Southland
PO Box 7020
INVERCARGILL 9844

Email:
office@hospicesouthland.org.nz

Telephone:
03 211 3081

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Contact Us

(03) 211 3081
0800 211 3081
office@hospicesouthland.org.nz
PO Box 7020, Invercargill 9844
55 Kew Rd (Gate 4) or Gate 1, Elles Road
Southland Hospital Grounds
Invercargill 9812

Hospice Southland provides specialist palliative care to those with a life-limiting illness in the Southland and the Wakatipu Regions, free of charge, and ideally in their setting of choice.

© Copyright Hospice Southland

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