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 details

Name*

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 experience

Please 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

Resume

Please upload your resume to this application (optional)

Max. file size: 128 MB.

Referee 1

Referee's full name*

First referee's phone

Referee's email

Referee's relationship to you?*

Referee 2

Referee's full name*

Referee's phone

Referee's email

Referee's relationship to you?*

Emergency contact person

Full 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*

Queries

Please contact our Volunteer Services Coordinator with any queries. Ph: 9418 9893 Email: volunteer@nrch.com.au Web: www.nrch.com.au

If you need any assistance to complete this application form, please contact the Volunteer Services Coordinator. Contact details at the end of this form.

Your details

Qualifications, skills and experience

Resume

Referee 1

Referee 2

Emergency contact person

Declaration

Queries

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Location

Contact

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