Contact Information

Name:

First Name:	Click here to enter text.	Surname: Click here to enter text.

Other Names:	Click here to enter text.

Address:

a No:	Click here to enter text.	Street Name:	Click here to enter text.

Suburb:	Click here to enter text.	State:	Click here to enter text.

Post Code:	Click here to enter text.

Home Phone:	Click here to enter text.	Mobile:	Click here to enter text.

Work Phone:	Click here to enter text.	Email Address: Click here to enter text.

Availability

During which hours are you available for volunteer assignments?

☐ Sunday	From:	_________________	To: _________________

☐ Monday	From:	_________________	To: _________________

☐ Tuesday	From:	_________________	To: _________________

☐ Wednesday	From:	_________________	To: _________________

☐ Thursday	From:	_________________	To: _________________

☐ Friday	From:	_________________	To: _________________

☐ Saturday	From:	_________________	To: _________________

☐ Sunday	From:	_________________	To: _________________

Interests

Tell us in which areas you are interested in volunteering

☐	Administration	☐	Organising events	☐	Field work

☐	Fundraising	☐	Deliveries	☐	Giving a hand/Serving

☐	Newsletter production	☐	Volunteer coordination	☐	Cooking

☐	Website development and maintenance	☐	Writing proposals and reports

☐	Case management	☐	Driving and transport

☐	Other (please indicate): Click here to enter text.

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. You may wish to attach your resume.

Click here to enter text.

Previous Volunteer Experience

Summarize your previous volunteer experience.

Click here to enter text.

Person to Notify in Case of Emergency

First Name:	Click here to enter text.	Surname: Click here to enter text.

Other Names:	Click here to enter text.

Address:

Street No:	Click here to enter text.	Street Name:	Click here to enter text.

Suburb:	Click here to enter text.	State:	Click here to enter text.

Post Code: Click here to enter text.

Home Phone:	Click here to enter text.	Mobile:	Click here to enter text.

Work Phone:	Click here to enter text.	Email Address: Click here to enter text.

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Signature: _____________________

Name: Click here to enter text.

Date: Click here to enter a date.

Our Policy

It is the policy of this organisation to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in volunteering with us.