Volunteer Application Form: General

Which role are you applying for?*

Your details

Name*

First Last

Address*

Street Address City ZIP / Postal Code

Phone*

Email*

Country of birth*

Languages spoken other than English*

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)?*

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.

For what period would you like to undertake volunteer work with NRCH?*

3 months
6 months
Until I get experience
Until I find employment
Ongoing

Do you have a current Working With Children's Check?*

Yes
No

Do you consent to a Police Check?*

If you have already Police Check conducted within the last 3 years, you can bring this along to your interview.

Yes
No
I can provide a recent Police Check

Resume

Please upload your resume to this application (optional)

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*

What will happen next?

If your application is successful, you will be invited for an interview.

Queries

Please contact our Volunteer Coordinator, Selma Sali with any queries. Mail: North Richmond Community Health Ltd, 23 Lennox Street, Richmond 3121 Ph: 9418 9893 Fax: 9428 2269 Email: selmas@nrch.com.au Web: www.nrch.com.au

Our services