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Volunteer Application Form

Personal Details

Title: Circle one or specify other First Name: Street Address:

Mr. Mrs. Ms. or

Family Name: Middle Name(s): Suburb/Town:

Suffix:

(e.g. MD)

other

Preferred Name: State: Postcode:

Postal Address (if different): Email Address: Telephone: Home:

Suburb/Town:

State: Postcode:

Mobile:

Work:

Do you have a current Driver’s Licence? Car: Manual Automatic

Yes

No

Tick appropriate box(es) below International Driving Permit:

Heavy Vehicle:

Volunteer Position

Please provide details of the program or specific volunteer role(s) that you are interested in (in order of preference if there are more than one)

Program Area:(eg Retail, MATES)

Location:

Volunteer Role:

Availability to Volunteer

No. Hours/Week: Preferred Days: Monday

am pm

Start Date: Tuesday

am pm

Wednesday

am pm

Thursday

am pm

Friday

am pm

Saturday

am pm

Sunday

am pm

Skills and Qualifications

Formal Qualifications:

(e.g. Diploma, Degree, Trade Certificate etc.)

Other Training/Certification:

(Eg First Aid Certificate, Advanced Driving etc)

Computer Skills:

(eg Word, Excel, PowerPoint etc)

Languages (Other Than English)

1. 2. 3. 4.

(Please indicate whether basic (B), medium (M) or fluent (F) for both spoken and written)

Spoken: B Spoken: B Spoken: B Spoken: B

M M M M

F F F F

Written: B Written: B Written: B Written: B

M M M M

F F F F

Employment and/or Volunteering History

Have you worked for Red Cross before? What was your most recent paid position? What was your most recent volunteer role? Yes

Position: Position:

No

Organisation: Organisation:

Document number: HR-F ATT 01 A Date: 8 April 2011 page 1 of 2

Volunteer Application Form (cont)

Referees

Please provide the contact details of two people who are not family members and who are willing to act as referees for your chosen voluntary work position. See attached “Volunteer application...