Cookie Settings
This site uses cookies to store information on your computer, to improve your experience. One of the cookies this site uses is essential for parts of the site to operate and has already been set. You may delete and block all cookies from this site, but parts of the site will not work. To find out more about the cookies this site uses and how to delete them, please see the privacy notice.
I accept cookies from this site.
skip to main content
Menu
Our Services
Patients and Carers
Coronavirus | Advice for carers
Coming to hospital
Patient Leaflets
NHS Constitution
Patient Experience
Privacy and Dignity
Privacy Notice
Carers, Friends and Family
Your information, your rights
Infection prevention and control
Mental Health Act
Future Planning
About Us
Membership
Council of Governors
Trust board
Equality and Diversity
Safeguarding Children and Adults
Our staff
Safer staffing
News
Policies and Procedures
Annual Report and Quality Account
Training and Development
Working Together
Work for us - job vacancies
The SHJ magazine
Every Life Matters - Let's prepare to prevent
Quality Improvement
Divisional Structures
Case Studies
Sustainability at Southern Health
Medicines Management team
Get in Touch
Complaints and Patient Experience
Freedom of Information
Accessibility
COVID-19 Advice
Coronavirus | Advice for adults
Coronavirus | Advice for children and young people
Coronavirus | Advice for seniors
Coronavirus | Useful links and resources
Member of Staff?
Click here
to login.
Site search
Site search
Services and Locations
Services and Locations
close
Find a service
Learning disability services
View our main locations
Research at the Trust
Help in a crisis
Patients and Carers
Patients and Carers
close
Your care
Complaints and Patient Experience
Patient Experience
Privacy and Dignity
Coming to hospital
Infection prevention and control
Patient Leaflets
Every Life Matters - Let's prepare to prevent
Future Planning
Carers, Friends and Family
Carers, Friends and Family
Advice and Information for Carers
Connect to Support Hampshire
Carers' Principles
Get involved with carers
Hampshire Joint Carers Strategy
Triangle of Care
Who is a carer?
Coronavirus | Advice for carers
Your information, your rights
Mental Health Act
NHS Constitution
Your information, your rights
Access to your Personal Information
Information Sharing
About Us
About Us
close
The Trust
Annual Report and Quality Account
Board committees
Equality and Diversity
Freedom of Information
Membership
Policies and Procedures
Quality Improvement
Suppliers
Sustainability at Southern Health
Trust board
Meetings
Council of Governor Meetings
The Team
Divisional Structures
Executive Directors
Non-Executive Directors
Our staff
Our Governors
Council of Governor Meetings
Council of Governor papers
Council of Governors
Meet our Governors
Work for us
Care to join us - job vacancies
Our vacancies
Training and Development
Volunteering with Southern Health
Ways into work
A - Z of Southern Health
Latest News
Stage 2 Review into Southern Health NHS Foundation Trust
Soldiers lend support to Trust's COVID-19 efforts
Trust signs pledge to military veterans
Get in touch
Get in touch
close
Contact Us
Complaints and Patient Experience
PR and Media Team
Make an FOI request
The SHJ - The Trust magazine
Get Involved
Membership
Volunteering with Southern Health
Get involved with carers
Coronavirus | Advice for carers
Getting involved in Research
Main contact detail:
Trust HQ, Tatchbury Mount Calmore
Southampton SO40 2RZ
Phone number: 023 8087 4000
COVID-19 Advice
COVID-19 Advice
close
Apply to be a volunteer
Coronavirus | Advice for carers
Care to join us | Coronavirus (Covid-19)
COVID-19 | Looking after you
Coronavirus | Advice for seniors
Coronavirus | Advice for children and young people
Coronavirus | Useful links and resources
Advice and Easy Read information: Coronavirus COVID 19
Home
>
About
>
Our staff
>
Volunteering with Southern Health
>
Apply to be a volunteer
Home
/
Back
Volunteering with Southern Health
Mandatory field
COVID 19 Volunteer Application Form
Hello and thank you for your interest in applying to be a Southern Health Volunteer!
At this time, the Government has advised that anyone with the specified Health conditions below must protect themselves by following the advice to stay at home. If any of the following apply to you, there is helpful information on the NHS website, please follow guidance at this time, but you will be signposted by completing the form below to additional ways of supporting vulnerable people in your community.
• Aged 65 or older (regardless of medical conditions)
• Have chronic (long-term) respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis
• Have chronic heart disease, such as heart failure
• Have chronic kidney disease
• Have chronic liver disease, such as hepatitis
• Have chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), a learning disability or cerebral palsy
• Have diabetes
• Have problems with your spleen – for example, sickle cell disease or if you have had your spleen removed
• Have a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tablets or chemotherapy
• Are seriously overweight (a body mass index (BMI) of 40 or above)
• Have received an organ transplant and remain on on-going immunosuppression medication
• Have cancer and you are undergoing active chemotherapy or radiotherapy
• Have cancers of the blood or bone marrow such as leukemia at any stage of treatment
• Have severe chest conditions such as cystic fibrosis or severe asthma (requiring hospital admissions or courses of steroid tablets)
• Have severe diseases of body systems, such as severe kidney disease (dialysis)
• Are currently pregnant
Do you have any of the Health conditions specified in the list above?
No
Yes
Page Comments