Register to Volunteer

Volunteering at Claire House is a rewarding experience, both for us as a charity and you, the volunteer. We’ve made the process of registering as simple as possible.

You will require two references (unfortunately, these cannot be Claire House staff or a family member).

For more information on the volunteering opportunities at Claire House, please download our Volunteer Pack here.

Pecyn Gwirfoddoli yn y Gymraeg


To register your interest, please fill in the form below and a member of the Claire House team will be in touch.

  
 

Your Information:

*Title:	MrMissMrsMsDr
*First Name:
*Last Name:
*Date of Birth:
*Sex:	Male    Female
*Address Line1:
Address Line2:
Address Line3:
*Town / City:
County:	[Select County]AberdeenshireAlderneyAngusArgyll and ButeAyrshireBath and NE SomersetBedfordshireBerkshireBlaenau GwentBordersBridgendBuckinghamshireCaerphillyCambridgeshireCarmarthenshireCeredigionCheshireClackmannanshireClevelandClwydConwyCornwallCounty AntrimCounty ArmaghCounty DownCounty FermanaghCounty LondonderryCounty TyroneCumbriaDenbighshireDerbyshireDevonDorsetDumfries and GallowayDurhamDyfedEast AyrshireEast DunbartonshireEast LothianEast RenfrewshireEast Riding of YorkshireEast SussexEssexFalkirkFifeFlintshireGloucestershireGuernseyGwyneddHampshireHerefordshireHertfordshireHighlandInverclydeIsle of AngleseyIsle of ManIsle of WightIsles of ScillyJerseyKentLancashireLeicestershireLincolnshireMerseysideMerthyr TydfilMiddlesexMidlothianMonmouthshireMorayNeath Port TalbotNorfolkNorth AyrshireNorth East LincolnshireNorth LanarkshireNorth LincolnshireNorth SomersetNorth TynesideNorth YorkshireNorthamptonshireNorthumberlandNottinghamshireOrkney IslandsOxfordshirePembrokeshirePerth and KinrossPowysRenfrewshireRhondda Cynon TaffRutlandShetland IslandsShropshireSomersetSouth AyrshireSouth GlamorganSouth GloucestershireSouth LanarkshireSouth TynesideSouth YorkshireStaffordshireStirlingStrathclydeSuffolkSurreyTorfaenVale of GlamorganWarwickshireWest BerkshireWest DunbartonshireWest GlamorganWest LothianWest MidlandsWest SussexWest YorkshireWestern IslesWiltshireWorcestershireWrexham
*Postcode:
Mobile Phone:
*Home Phone:
Work Phone:
*Email Address:
Work Email Address:

Availability:

Please tell us when you would be available to help Claire House:

	Weekday Mornings		Weekend Mornings
	Weekday Afternoons		Weekend Afternoons
	Weekday Evenings		Weekend Evenings

Volunteering Interests:

Please tell us what type of voluntary work you are interested in:

	Help At Claire House Fundraising Events		Sell Raffle Tickets
	Work With Claire House Area Fundraisers		Deliver And Collect Fundraising Containers
	Create And Run Your Own Claire House Friends Fundraising Group		Driving (Deliveries/Collections)
	Organize Your Own Fundraising Events		General Fundraising (including street and shop collections)
	Work With Local Schools To Raise Awareness And Fundraise		Help At Claire House Charity Shops
	Create And Run A Book Club		Any Other

For Schools/Colleges/Universities/Youth Groups:

Please tell us any special ways you can help:

	Run your own fundraising group		Help with our larger fundraising initiatives (street collections/supermarket collections)
	Work as a group delivering and collecting money containers from shops/offices etc		Be a School Ambassador (raise awareness and integrate with young people of all ages)

Volunteering Areas:

Please tell us the areas you are prepared to help us in:

	Wirral		Ellesmere Port		Chester		Runcorn
	Northwich		Widnes		Liverpool		Southport
	Ormskirk		St Helens		Formby		Lymm
	Warrington		North Wales		Isle of Man

Your Special Skills or Qualifications:

Give brief details of your special skills and qualifications you have acquired from either employment, previous voluntary work, or through other activities, including hobbies or sports. Should you hold any awards/certificates that are still current example First Aid; Food Hygiene etc, then please send us a copy.

Occupation:
Any Previous Voluntary Work:
Hobbies:

Person to Notify in Case of Emergency:

*Name:
Relationship:
Address:
Postcode:
*Phone/Mobile:
Work Phone:
Email Address:

References:

(Please note a Referee cannot be another Claire House Volunteer or a Relative)

*First Referee Details
Title:	MrMissMrsMsDr
*Name:
*Address:
*Postcode:
*Second Referee Details
Title:	MrMissMrsMsDr
*Name:
*Address:
*Postcode:

Should it be the case that references are not received within a reasonable timeframe, we will contact you and request that you contact your referee/s prompting their reply.

Agreement:

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a Volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.I agree to inform Claire House if I have any prior criminal convictions or cautions or receive any future cautions including any driving offences. I agree to provide a copy of my driving license if valid. I agree to inform Claire House of any physical disabilities, which I feel would be likely to impact on my ability to perform any chosen voluntary duties.

Confidentiality Statement:

As part of the Claire House Fundraising Team, it is essential that all Claire House Fundraising Volunteers maintain the strictest confidentiality.
All information which you have access to during your work with us on patients and their families, patient care, fundraising, financial information, sponsors and suppliers must not be disclosed to any persons outside of Claire House.
Any breach of confidentiality will be deemed a disciplinary offence and appropriate action will be taken by Claire House.


 I hereby state I have read and understood both the Agreement and Confidentiality Statement and will abide by them both.

*Enter the Code:

Our Aim:

At Claire House we aim to provide Volunteers with as much support as possible and will work together to build a good team attitude to always communicate and show loyalty. Where necessary we will provide training and/or guidance for a specific event or role.

Should you wish to learn more about Claire House, please do not hesitate to contact us