Failure to disclose could result in you being asked to leave your volunteering role in Foyle Hospice.

Particular volunteer roles within the hospice are exempt from the provision of Section 2 of the above Order. This means that when applying for these roles you should declare any past criminal convictions. As part of the selection process for these roles you will be required to undergo an AccessNI Enhanced Disclosure as per the AccessNI Code of Practice (available at www.nidirect.gov.uk/publications/accessni-code-practice) and Privacy Notice (available at www.justice-ni.gov.uk/publications/ani-privacy) this will disclose ‘spent’ convictions. Due to the nature of volunteer roles carried out within some of the departments within Foyle Hospice, we may have to check the Adults Barr List as part of our enhanced NI Access Check Is there any reason you cannot work in a regulated activity? (Regulated Activity is an activity that you must not do if you are barred from working with children or vulnerable adults)

I hereby declare that the information given is correct and agree to my information being processed by Foyle Hospice for the purpose of administration, management and support of volunteers. I shall not during the period of volunteering or at any time thereafter disclose any confidential knowledge or financial information of Foyle Hospice, or any personal information relating to its patients, their families and carers, employees, volunteers or trustees in any manner whatsoever. I hereby consent to my referees being contacted and if relevant an Access NI enhanced check being undertaken by Foyle Hospice.

All information provided is treated confidentially and is used only for the purposes of volunteer placement. For further information on the hospice Privacy Notice and the Policy on the Handling, Storage and Disposal of Information is available at www.foylehospice.com/who-we-are/terms-policies