0800 211 3081

Volunteer Application

Volunteer Collage sml

Fields marked with * are required.

Personal Details

(This information is required for a 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.

Address Hospice Southland
PO Box 7020
Email office@hospicesouthland.org.nz
Telephone 03 211 3081