Volunteer Application Form: The Cafe

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 e.g. barista skills, sandwich making*

Why would you like to volunteer at The Cafe at North Richmond Community Health (NRCH)?*

Which day/s would you like to volunteer at The Cafe? The Cafe hours are 9:30 am - 3:00 pm*

Monday
Tuesday
Wednesday
Thursday
Friday

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

How did you find out about The Cafe ?*

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.

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

Yes
No

Do you consent to a Police Check?*

If you have a Police Check conducted within the last 3 years, you can provide this at 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 that: the information I have provided in this form is true and correct AND I have read and understood The Cafe Volunteer Position Description

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

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