Volunteer Application Form - General - North Richmond Community Health

If you would like assistance to complete this application form please contact the Volunteer Services Coordinator at kathriyes@nrch.com.au or call 0477 611 796 – be sure to leave a message if the phone is not answered.

Role You’re Interested In

Leave this blank if you are not interested in any of the current roles listed.

Personal details

Name*

First Last

Preferred pronouns

She/Her/Hers
He/Him/His
They/Them/Theirs
Prefer not to say
Other

Address*

Street Address City ZIP / Postal Code

Phone*

Email*

Skills, Experience and Interests

Where did you learn about volunteering at NRCH?*

Why would you like to volunteer for NRCH? What do you hope to gain/achieve?*

What relevant skills/experience and attributes would you bring?*

Languages spoken other than English*

Your interests and talents*

Qualifications

Do you have any health conditions/pre-existing injuries that will be impacted by volunteering?*

If yes, please provide details and how we can assist you to keep safe and well.

Please provide any other details to support your application.

You may upload your resume (optional)

Max. file size: 128 MB.

Availability and commitment

Can you commit to a regular weekly or fortnightly shift?*

Yes
No

Would you like to be contacted for ad hoc roles, e.g. helping at events, or one-off support activities?*

Yes
No

Can you commit, in good faith, to 6 months of volunteering?*

Yes
No

References

Please enter the details of TWO references (professional, educational, community group organisors (e.g. sporting clubs, other volunteer supervisors, religious leaders), or anyone who knows you well but is not immediate family/spouse.

Referee 1

Name*

First Last

Phone

Email

Referee 2

Name*

First Last

Phone

Email

Emergency contact person

Name*

First Last

Phone (preferred)*

Phone (other)

If applicable

Phone (other)

Relationship to you

Declaration

By ticking this box, I understand that I am applying to volunteer for NRCH and that there is no guarantee that this will lead to paid employment.

Date*

What will happen next?

If your application is successful, we will contact you to discuss about possible volunteering opportunities.

Queries

Please contact our Volunteer Services Coordinator with any queries via email (volunteer@nrch.com.au) or phone (0477 611 796).

Volunteer Application Form – General

If you would like assistance to complete this application form please contact the Volunteer Services Coordinator at kathriyes@nrch.com.au or call 0477 611 796 – be sure to leave a message if the phone is not answered.

Personal details

Skills, Experience and Interests

Availability and commitment

References

Referee 1

Referee 2

Emergency contact person

Declaration

What will happen next?

Queries

Follow us

Location

Contact

Opening hours