If you’re 16 or 17 years old, you must be part of a recognised scheme and apply in-store with a parent or guardian present. Form fields marked with ‘ * ’ are mandatory and you must provide information Need help? If you have any questions or feedback about this form, please contact us here Shop location Select your preferred shop - Select -Aberdeen (Beach Boulevard)Aberdeen (Rosemount)Aberdeen (Union Street)AbergavennyAbingdonAirdrieAlderley EdgeAlnwick (Bondgate)Alnwick (Narrowgate)AltonAltrinchamAmershamArbroathArmaghArnoldArundelAshbourneAshbyAshford (Kent)Ashton-Under-LyneAylesburyAyrBakewellBalhamBallymenaBanburyBanchoryBansteadBarkingsideBarnetBarnsleyBarnstapleBarrow Hindpool Retail ParkBasildonBasildon SuperstoreBathBeaconsfieldBeckenhamBeckton (Superstore)BedfordBeestonBelfastBelfast (Botanic Avenue)Belfast (Lisburn Road)BellshillBerkhamstedBeverleyBexhill (Western Road)BexleyheathBidefordBiggleswadeBillericayBilstonBirchingtonBirkenheadBirmingham ErdingtonBirmingham HarborneBirmingham Perry Barr (Superstore)Blackburn (Northgate)Blackburn (Townsmoor)BlackheathBlackpoolBlairgowrieBletchleyBloomfieldBluewater (Pop Up)BodminBognorBoltonBorehamwoodBourneBradfordBraintreeBramhallBrentwoodBridgnorthBridgwaterBridportBrightonBristol SuperstoreBristol (Fishponds)Bristol (Queens Road)Bristol BishopstonBroadstairsBroadwaterBromleyBromsgroveBroughty FerryBrownhillsBulwellBurgess HillBurtonBuryBury St Edmunds (Abbeygate)Bury St Edmunds (Cornhill)Buxton (33-35 Spring Gardens)Buxton (9 Spring Gardens)CallanderCamberleyCamberwell GreenCambridge (Burleigh Street)Cambridge (Regent Street)CamdenCanterbury (Burgate)Cardiff (Canton)Cardiff (City Link Retail Park)Cardiff (Whitchurch)CarlisleCarmarthenCarshaltonCastlefordCaterhamCatterick GarrisonCheadle (Cheshire)Cheadle (Staffs)CheamChelmsfordChelmford SuperstoreChelseaCheshamChester (Foregate)Chester (Watergate Street)ChichesterChingford (Old Church Road)Chiswick (278 High Road)Chiswick (392 High Road)Chorley (33 Chapel Street)CirencesterClactonClaphamClevedonCleveleysCliftonClitheroeClydebankCoatbridgeCobhamColefordCongletonCorbyCorstorphine Retail ParkCotteridgeCoventry (Kynner Way)Coventry (Trinity Street)CowbridgeCrayfordCregaghCreweCrieffCromerCrouch EndCrystal PalaceCwmbranDalkeithDarlington SuperstoreDartmouthDerby (Albert Street)Derby (Allenton)Derby (Alvaston)Derby (Babington Lane)Derry CityDewsburyDidcotDidsburyDoncasterDorkingDroitwichDudleyDumbartonDumfriesDundeeDunfermline (East Port)Dunfermline (High Street)DungannonDunstable (White Lion Retail Park)Ealing BroadwayEast BarnetEast DerehamEast GrinsteadEast HamEast SheenEastbourneEdinburgh (Corstorphine)Edinburgh (Davidsons Mains)Edinburgh (Morningside)Edinburgh (Nicolson Street)Edinburgh (Portobello)Edinburgh (South Clerk Street)Edinburgh (Stockbridge)Edinburgh (Tollcross)Elgin (185 High Street)Elgin (38-40 High Street)ElthamElyEnfieldEnniskillenEppingEpsomExeterExmouthFakenhamFalkirkFalmouthFarnham (Downing Street)Farnham (West Street)FavershamFelixstoweFerndownFinaghyFinchleyFleet (Regional Distribution Centre)FolkestoneFormbyFort WilliamFraserburghFrodshamFulhamGalashielsGerrards CrossGillinghamGlasgow (Anniesland)Glasgow (Clarkston)Glasgow Crown Street (Superstore)Glasgow Parkhead Forge (Superstore)Glasgow (Queen Street)Glasgow (Sauchiehall)Glasgow (Victoria Road)Glasgow (Byres Road)GlengormleyGlossopGloucesterGodalmingGolders GreenGooleGosforthGosportGrangemouthGranthamGravesendGreat YarmouthGreenfordGreenockGuernseyGuildfordHaddingtonHalesowenHammersmithHampsteadHarpendenHarrogate (Beulah Street)Harrogate (Oxford Street)HaslemereHayesHaywards HeathHeadington (114 London Road)Headington (79C-81A London Road)HeathfieldHelensburghHemel HempsteadHenleyHerne Bay (High Street)HexhamHigh WycombeHighgateHinckleyHitchinHolloway RoadHolyheadHolywoodHonitonHornchurchHorsham (East Street)Horsham (West Street)HounslowHuddersfieldHullHydeIlfordIlkleyInvernessInverurieIpswich (Upper Brook Street)Ipswich (Westgate Street)Irvine Retail ParkIsle Of SheppeyIslingtonJerseyJohnstoneKelsoKendalKenilworthKensingtonKeswickKetteringKilburnKings LynnKingsbridgeKingston (Fife Road)KirkcaldyKirkintillochKnaresboroughKnutsfordLancasterLargsLeamington SpaLeatherheadLeeds (Horsforth)Leeds (Kirkstall)Leeds (Lands Lane)LeekLeicesterLeigh (Superstore)Leith (Newkirkgate)LerwickLevenLewesLewishamLichfieldLincolnLinlithgowLiphookLisburn (Market Square)Lisburn (Smithfield Square)London (Portobello Road)LooeLoughboroughLoughtonLouthLowestoftLudlowLythamMacclesfieldMaidenheadMaidstoneMalmesburyMarchMarket DraytonMarket HarboroughMarlboroughMarlowMarpleMaryleboneMelton MowbrayMere GreenMerthyr TydfilMiddlewichMidhurstMill HillMilngavieMineheadMitchamMonmouthMontroseMoortownMorecambeMoretonMorpethMotherwellMusselburghMuswell Hill (161 The Broadway)Muswell Hill (85 The Broadway)NantwichNeathNew MaldenNew MiltonNewarkNewburyNewbury (Superstore)Newcastle-Under-Lyme IronmarketNewcastle-Under-Lyme (Superstore)Newcastle-Upon-Tyne (Grainger)NewmarketNewportNewquayNewton Abbot (Courtenay Street)Newton Abbot (Queen Street)NewtownNewtownardsNorburyNorth BerwickNorth FinchleyNorthallerton (140 High Street)Northallerton (218 High Street)Northampton (Sheep Street)Northampton (The Parade)NorthwichNorthwoodNorwichNorwich Riverside SuperstoreNottingham (Friar Lane)Nuneaton (Abbey Street)Oakham (Tungsten)ObanOldhamOrmskirkOrpingtonOtleyOxtedPaddock WoodPaisley (Causeside Street)Paisley (Phoenix Retail Park)Palmers GreenPartickPeeblesPenarthPenicuikPenrithPenzancePerth (High Street)Perth (Scott Street)PeterboroughPeterheadPetersfield (Chapel Street)Petersfield (High Street)PitlochryPlymouth (Cornwall Street)Plymouth (Mutley Plain)Port TalbotPortsmouthPotters BarPrestwichPurleyPutneyRadcliffeRamsgateRawtenstallRayleighReading (Broad Street)Reading (Friar Street)RedditchRedruthReigateRetfordRichmondRingwoodRiponRochesterRomford (South Street)RomseyRossRotherhamRotherham Parkgate Shopping ParkRothesayRoyal Sutton ColdfieldRugbyRuislipRushdenRustingtonRydeSaffron WaldenSalfordSalisbury (20 Catherine Street)ScunthorpeSeafordSelbySevenoaksShaftesburyShawlandsSheffield (Ecclesall Road)Meadowhall Sheffield (Superstore)SherwoodShipleyShirleyShorehamShottonShrewsbury (High Street)SidmouthSittingbourneSkiptonSleafordSloughSolihullSouth HarrowSouth Woodford (103 George Lane)Southampton (East Street)Southampton (Portswood)Southampton (Shirley)SouthendSouthgateSouthportSouthport (Superstore)SouthseaSouthwickSpaldingSt AlbansSt AndrewsSt AnnesSt HelensSt IvesSt Johns WoodSt NeotsStafford (Superstore)StalybridgeStamford (St Pauls Street)StanmoreStevenageStirling (19 Murray Place)Stirling (76 Murray Place)Stockport (Hazel Grove)Stockport (Princes Street)Stockport (Warren Street)Stoke (Plymouth)StokesleyStoneStranraerStratford Upon AvonStreathamStroodSudburySunderland (Pallion Retail Park)SunningdaleSurbitonSuttonSutton-In-AshfieldSwadlincoteSwanseaSwansea (Pontarddulais Road Retail Park)SwindonSwindon (Greenbridge Retail Park)SydenhamTamworthTauntonTeddingtonTenbyTenterdenThameThanet (Superstore)ThirskThursoTivertonTotnesTorquay (Superstore)TroonTruroTunbridge WellsTwickenhamUckfieldUlverstonUpminsterUrmstonWallingfordWalsall (Crown Wharf Shopping Park)WantageWarringtonWarrington – Regional DistributionWatfordWellingWellingtonWellsWelwyn Garden CityWest BridgfordWest BromwichWest EalingWest HampsteadWest KirbyWest WickhamWetherbyWeybridgeWeymouthWhitbyWhitchurchWhitstableWhittonWickWidnesWigstonWilfordWillenhallWilmslow (Hawthorne Lane)Wilmslow (Water Lane)Wimbledon (Broadway)Wimbledon VillageWinchesterWindsorWisbechWishawWithingtonWokinghamWolverhamptonWood GreenWoodbridgeWorcesterWorkingtonYateYeovil Use the drop down menu to select the shop you would like to volunteer at Personal details Title - Select -MissMrMrsMsMxDrReverendMasterLadyProfessorSirMajorCaptainLordDame Surname Forename(s) Known as/Preferred name Postcode Address line 1 Address line 2 Address line 3 Town or city County - None -AberdeenshireAngleseyAngusArgyll and ButeAyrshireBanffshireBedfordshireBerkshireBrecknockshireBuckinghamshireCaernarfonshireCaithnessCambridgeshireCarmarthenshireCeredigionCheshireClackmannanshireClevelandConwyCornwallCounty AntrimCounty ArmaghCounty DownCounty DurhamCounty FermanaghCounty LondonderryCounty TyroneCumbriaDenbighshireDerbyshireDevonDorsetDumfries and GallowayDunbartonshireDyfedEast LothianEast SussexEssexFlintshireGlamorganGloucestershireGwentGwyneddHampshireHerefordshireHertfordshireHumbersideInverness-shireIsle of ManIsle of WightKentKincardineshireKirkcudbrightshireLanarkshireLancashireLeicestershireLincolnshireMerionethshireMerseysideMid GlamorganMidlothianMonmouthshireMontgomeryshireMorayNairnshireNorfolkNorth YorkshireNorthamptonshireNorthumberlandNottinghamshireOrkneyOxfordshirePeebleshirePembrokeshirePerthshirePowysRadnoreshireRenfrewshireRoss-shireRoxburghshireRutlandSelkirkshireShetland IslesShropshireSomersetSouth GlamorganSouth YorkshireStaffordshireStirlingshireSuffolkSurreySutherlandTyne and WearWarwickshireWest GlamorganWest LothianWest MidlandsWest SussexWest YorkshireWestern IslesWigtownshireWiltshireWorcestershire Country United Kingdom Contact number 1 Contact number 2 Email We’ll use this to email you about your application. You can opt out at any time. Date of birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year19241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006 We use this information to check if you’ve supported Cancer Research UK before. This will help us to make sure that our records are up to date so we can send you relevant information. You must be aged 16 and over to volunteer. If you’re aged between 16 and 18 you must be part of a recognised scheme and apply in-store with a parent or guardian present. Gender - Select -FemaleMaleOtherPrefer not to say How did you hear about us? - Select -Enquired Within ShopFamily/FriendsLocal Jobcentre/Volunteer centreCancer Research UK MarketingShop window AdvertThe Prince's TrustFrom Volunteering departmentFrom Cancer Research UK websiteOther Emergency contact details Name of person we should contact in case of an emergency Relationship to you - Select -Spouse/PartnerParentChildCarer/Support workerFriendOther If other, please give details Emergency contact number 1 Emergency contact number 2 Health and additional support Are there any adjustments we could make to help you volunteer with us? - Select -YesNoPrefer not to disclose If you’re disabled or have a physical or mental health condition that might make it hard for you to volunteer with us, please tell us so we can do our best to support you. If yes, please give details If you would prefer to discuss how we could support you in person, you may do so in your chosen CRUK shop Criminal convictions Please select ‘yes’ if you have any criminal convictions which are not yet spent under the Rehabilitation of Offenders Act 1974. If you are not sure whether your convictions are spent, guidance can be found here. If you have an unspent conviction, it doesn’t necessarily mean you can’t volunteer with Cancer Research UK but we’ll need to consider it when reviewing your application. If you fail to disclose an unspent conviction, or provide false or misleading information, we may withdraw any volunteering opportunity. Do you hold any unspent criminal convictions or have any pending court cases? Yes No If yes, please provide details of the criminal offence(s) including dates and sentences References Please provide the details of 1 reference to support your application. We need this information to check applicants’ suitability for the volunteering role and to comply with safeguarding guidance. This referee must be known to you in a professional or educational capacity or be in a trusted position in the community. We may need to contact them in relation to your application. Referee 1 name Referee 1 email Referee 1 telephone number How do you know this person? - Select -AccountantBank or building society workerBarrister or solicitorCivil servantCouncillorDirector or manager of companyFinancial services worker e.g. mortgage brokerFuneral directorHealth professional e.g. carer, doctor, nurse, physiotherapist, mental health nurse, dentist, pharmacistJob Centre/Career advisor/Job CoachJustice of the PeaceLandlordLine Manager at work or volunteering roleMinister or faith leaderPolice officerPost office workerSocial workerSupport workerSurveyorTeacher or tutor Referees cannot be directly related to you by blood or marriage and they need to have known you for at least two years. Hear more from us How we use information about you Sometimes we may research you using publicly available sources, like the electoral register. We do this to make our fundraising efforts targeted and effective, and to understand how much you might be able to give. This allows us to be more efficient and cost-effective with our resources. And it helps ensure we do not send you information that’s irrelevant or intrusive. Also, we may try to get up to date contact details for you using external sources if you move house. This is so we can stay in touch with you in accordance with your wishes. To recognise the amazing work done by our volunteers, Cancer Research UK may wish to put forward certain volunteers for internal awards. These nominations would include information regarding your reasons for volunteering for CRUK, as well as other personal details. If you would rather CRUK did not process your personal information to put you forward for an award, please let us know at flameofhope@cancer.org.uk. Manage how we contact you and use your information You can change how we contact you, and how we gather and use information about you, at any time. Call us on 0300 123 3379 Email preferences@cancer.org.uk Complete our contact preferences webform Read more about how we target our fundraising and keep up to date with you in our privacy policy. Help bring forward the day when all cancers are cured. Hear about our latest breakthroughs, campaigns and how you can help support our life-saving work. We may contact you by post or phone unless you select ‘no’ below. Would you like to hear from us by: Post Yes No Phone Yes No Text Yes No Email Yes No Volunteering policy Please read our Welcome to Volunteering booklet Your data This form requests that you provide us with both personal data and sensitive personal data. Sensitive personal data includes, but is not limited to, information related to your health, and criminal convictions. By providing us with any personal data and sensitive personal data, you agree that Cancer Research UK may hold and use your personal data and sensitive personal data to consider your suitability to be a volunteer, manage your role as a volunteer and to keep in touch with you. This information, including the information contained in this form can be stored by us on both manual and computer files. It will be held securely and only accessed by authorised personnel within Cancer Research UK or, exceptionally, provided to third parties where required by law (for example to government bodies and law enforcement agencies). Personal declaration Please tick below to confirm that you have read and agree to the following: By submitting this form I agree to abide by the principles outlined in the volunteering policy. I will comply with all Cancer Research UK policies and guidelines made available to me including those outlined in the Welcome to Volunteering booklet (link is external) I will comply with health and safety guidelines, and I understand I have a responsibility for my own and others health and safety whilst volunteering with the charity; I agree that ownership of any intellectual property rights created in the course of my volunteering shall immediately vest in Cancer Research UK; I will notify Cancer Research UK of any changes in circumstances that may affect my volunteering; I agree to provide, when asked, and if required by the role, the details of two referees; I am volunteering entirely at my own risk and Cancer Research UK shall not be liable in any way for any injury or loss I might suffer as a result of my volunteering unless caused by Cancer Research UK’s negligence; I understand that if I have a disability or physical or mental health condition that might impact on my ability to volunteer, I can discuss this with my Cancer Research UK contact so that reasonable adjustments can be considered; I agree to declare and discuss with Cancer Research UK any unspent criminal convictions I may have*; I confirm that I am eligible to volunteer in the UK and the answers that I have provided on this form are true. * If you are not sure whether your convictions are spent, guidance can be found here(link is external). If you have an unspent conviction, it doesn’t necessarily mean you can’t volunteer with Cancer Research UK but we’ll need to consider it when reviewing your application. If you fail to disclose an unspent conviction, or provide false or misleading information, we may withdraw any volunteering opportunity. Personal declaration I have read and agree to the above declaration* Leave this field blank