Volunteer Application Form: Homework Support Group

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 in the Homework Support Program at North Richmond Community Health (NRCH)?*

What subjects (including year level) can you assist with?*

Please let us know of any health, disability, religious and cultural factors, or pre-existing injuries that you would like us to take into account.

How long can you commit to volunteering for the Homework Program?*

6 Months (2 terms)
Ongoing

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

Yes
No

Do you consent to a police check?*

Yes
No

Resume

Please upload your resume to this application*

Max. file size: 128 MB.

Referee 1

Please provide the contact information for a referee who is willing to speak with us about your character and abilities.

Referee's full name*

First referee's phone

Referee's email

Referee's relationship to you?*

Referee 2

Please provide the contact information for a second referee who is willing to speak with us about your character and abilities.

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 Homework Support Group 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 Services Coordinator with any queries. Mail: North Richmond Community Health Ltd, 23 Lennox Street, Richmond 3121 Ph: 9418 9893 Fax: 9428 2269 Email: volunteer@nrch.com.au Web: www.nrch.com.au

Your details

Qualifications, skills and experience

Resume

Referee 1

Referee 2

Emergency contact person

Declaration

What will happen next?

Queries

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