Volunteer Registration Form

HSE Volunteer Registration Form

Please fill out the form below to register your interest in volunteering. Your information will help us match you with roles suited to your skills, availability, and professional background. By submitting this form, you acknowledge and agree to the Terms & Conditions including data protection, eligibility requirements, and verification of professional registrations where applicable. Thank you for stepping forward. Your support truly makes a difference!

"*" indicates required fields

Name*

First Last

Email*

Enter Email Confirm Email

Mobile Number*

County of Residence*

Location*

Please indicate the City, Town or Area that you are most likely to support.

Access to transport

Please Indicate if you have access to private car or to public transport

Private car

Public transport

Availability*

Please indicate days of the week, hours per day, ability to work nights/weekends, and start date.

Type of roles you are willing to support*

(e.g., administrative, logistics, community outreach, clinical support, transport).

Are you a clinically qualified healthcare professional?*

Yes

Profession

Please indicate your profession

Years of experience in your profession*

Less than 2 Years

2 to 5 Years

More than 5 Years

Do you have an ACTIVE Professional Registration in Ireland*

Please note that without an active registration with your profession’s Irish regulatory body, you will be unable to carry out this role within the HSE.

Yes

ACTIVE Professional registration body*

Please indicate the Name of your Professional Regulatory Body where you hold an ACTIVE registration as well as the Registration Number (for example: NMBI 123456 or CORU OT12345).

To read the Terms & Conditions please click here