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 current Police Check?*
- Yes
- No
Resume
Please upload your resume to this application*
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*
Date Format: MM slash DD slash YYYY
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

Volunteer Application Form: Homework Support Group

Your details

Qualifications, skills and experience

Resume

Referee 1

Referee 2

Emergency contact person

Declaration

What will happen next?

Queries

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