Volunteer Application Form If you need any assistance to complete this application form, please contact the Volunteer Services Coordinator. Contact details at the end of this form.Which role are you applying for (if known)?*Your detailsName* First Last Your Pronouns Address* Street Address City ZIP / Postal Code Phone*Email* Country of birth* Languages spoken other than English* Where did you learn about volunteering for NRCH? (social media, newsletters, website etc)All volunteers must be COVID-19 vaccinated. This means at least 3 vaccinations. To proceed with the recruitment process you will need to provide evidence of having a minimum of 3 vaccincations. Can you provide this? Yes No Qualifications, skills and experiencePlease list a short description of your relevant qualifications, skills and experience.Qualifications*Skills*Experience* Why would you like to volunteer at North Richmond Community Health (NRCH)? What do you hope to gain/achieve?*Please let us know of any health, disability, religious, cultural factors or pre-existing injuries that you would like us to take into account as well as any medication you are taking which may affect your work.In good faith, are you willing to commit to a minimum of 6 months of volunteering?* Yes No ResumePlease upload your resume to this application (optional)Max. file size: 128 MB.Referee 1Referee's full name* First referee's phoneReferee's email Referee's relationship to you?* Referee 2Referee's full name* Referee's phoneReferee's email Referee's relationship to you?* Emergency contact personFull name* Phone*Address* Street Address City ZIP / Postal Code Relationship to you* Declaration* By ticking this box, I declare the information I have provided in this form is true and correct Date* MM slash DD slash YYYY QueriesPlease contact our Volunteer Services Coordinator with any queries. Ph: 9418 9893 Email: volunteer@nrch.com.au Web: www.nrch.com.au
