Zoë’s Place Trust - Volunteer Ambassador Application Form 1

Volunteer Ambassador

Application Form

If you are interesting in

becoming an Ambassador

for Zoë’s Place Baby Hospice,

read on ……….

First of all…

Thank you!

Thanks for enquiring about becoming a Volunteer Ambassador for Zoë’s Place Baby Hospice.

We look forward to hearing more about you and what volunteering tasks you are interested in.

To contact the Fundraising Team:

E-mail:

Telephone: 024 7636 1675

Address: Zoë’s Place Baby Hospice

Easter Way

Ash Green

Coventry

CV7 9JG

Visit: www.zoes-place.org.uk/coventry

Who We Are:

Zoë’s Place Trust run the only baby-specific hospices in the UK, providing 24 hour one-to-one

palliative, respite and end-of-life care to infants aged 0-5 years with life-limiting or life-threatening conditions. Our hospices offer short-term regular care in a home-from-home supportive environment; babies can stay from one day to a fortnight period, giving parents and families a much needed break from their full time care responsibilities.

Zoë’s Place has established 3 hospices in the UK, in Liverpool, Middlesbrough and the Coventry hospice which opened in July 2011 to provide care to the Midlands area. We show the utmost respect for each individual regardless of gender, disability, race, culture or religious beliefs. Our dedicated Fundraising Team work to raise enough funds for the hospice to run and develop.

We receive only a small amount of Government funding and rely heavily on public support – we need to raise £1.3M to enable us to open our doors 24/7, 365 days a year.

What to expect

By becoming a Volunteer Ambassador for Zoë’s Place you will help us to raise essential funds to

keep our services running so that we can continue to provide the palliative, respite and end-of-life care to young children with life-limiting and life-threatening conditions across the Midlands.

If you have some time to spare, either regularly or for one off projects, please complete the

attached application form, providing contact details and some information about the kind of tasks you are interested in.

What do we need your help with?

·  Running Stalls at events

·  Awareness building

·  Events – organising and running

· Talks and presentations in the community

·  Collection boxes in your local area

·  Fundraising initiatives in the community

What happens next?

On receiving your completed application form, our Volunteer Co-ordinator will contact you to invite you to come into the hospice for a look around (dependant on whether we have children in at the time); to discuss the type of voluntary work which most interests you; and answer any questions that you might have. Once we have mutually agreed that Zoë’s Place is a suitable match for you to volunteer for, we will send off for references, and on receipt of these we will be in touch to let you know that you are now a fully-fledged Volunteer Ambassador. We look forward to welcoming you to the Team!

How long will the process take?

The application process will take approximately 4 weeks, dependent on the return of reference

forms and availability for initial meetings.

What support will I receive?

We hold regular ‘Volunteer Voices’ meetings which allow the Fundraising Team to relay important information, keep you up-to-date with events and developments, and allow you to share ideas and plan future activities in a supportive and friendly environment. However, should you have anything you wish to discuss with us in between meetings, please get in touch as we’re always available for a chat and to help with any concerns you may have.

We are very proud of our volunteers, whose dedication and generosity is greatly appreciated. We hope you will enjoy your time spent volunteering with us and encourage feedback wherever possible.

Through becoming a Volunteer Ambassador for Zoë’s Place you will have the platform to build on your skills, work in a team or on your own, and gain professional experience in a way that you can control and manage amidst your own personal commitments.

Thank you for your interest - please retain this part of the document, and complete the application form attached, which we ask you to return to the Volunteer Co-ordinator.

Come and build skills in a fun, sociable, and rewarding way, whilst helping the community in which you live.

You can help

us to reach

Volunteer Ambassador Application Form

PERSONAL INFORMATION

NAME: Title: ______Forename: ______Surname: ______

Date of Birth: ____/_____/_____ Please note the minimum age is 18 to become a volunteer

Address: ______

City: ______Region: ______Postcode: ______

Contact Details: Home telephone: ______Mobile: ______

Email address: ______

Do you agree for your contact details to be shared with other Volunteers? Yes / No

Zoë’s Place Trust - Volunteer Ambassador Application Form 1

Zoë’s Place Trust - Volunteer Ambassador Application Form 1

Please provide the names and addresses of two people we can contact for references.

NB Ideally these should be people who have known you in different capacities (ie one professional, one personal) for two years or longer. Please do not use a partner or relative.

Name: / Name:
Relationship to you: / Relationship to you:
Address: / Address:
Postcode: / Postcode:
Telephone No: / Telephone No:
E-mail: / E-mail:

Please read the following questions and answer as fully as you can

·  What are your main areas of skill/expertise? ______

______

·  How did you hear about Zoë’s Place volunteering opportunities? ______

______

·  Have you ever undertaken voluntary work before? (Please tick)

☐ Yes

☐ No

·  If YES, what kind of voluntary work have you done? ______

______

______

·  What skills can you bring to the role of Volunteer Ambassador? ______

______

______

·  What would you like to get out of volunteering with us?______

______

·  Do you have your own transport? (please tick)

☐ Yes

☐ No

If not, are you confident you will be able to get to events when required?

______

·  Please note your usual availability, ticking all that apply:

Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday
Morning
Afternoon
Evening

Are there any dates that you are definitely not available to volunteer (ie holiday booked etc)?

______

Please note, due to Health Care regulations, we are unable to allow volunteers to assist with the care of our children.

Many thanks for your time, we look forward to working with you!

The Fundraising Team