VOLUNTEER APPLICATION FORM

 

 

 

Personal Details:

NAME
E-MAIL
PHONE – HOME
PHONE – WORK
DATE OF BIRTH
EMERGENCY CONTACT NUMBER
DRIVERS LICENCE NUMBER AND CLASS
Volunteering Experience:
CURRENT OR PREVIOUS VOLUNTEER EXPERIENCE.
QUALIFICATIONS OR SPECIAL SKILLS(FIRST AID, BOATING , SURF LIFESAVING, BRONZE MEDALIAN ETC)
WHY DO YOU WANT TO VOLUNTEER AT THS CENTRE.
Medical History:
LIST ANY KNOW MEDICAL CONDICTIONS/ALLERGIES/MEDICATION THAT MAY AFFECT YOUR VOLUNTEERING WITH THIS ORGANISATION.
IF YES BRIEFLY DESCRIBE.
ARE YOU CURRENTLY TAKING ANY MEDICATION FOR AN EXISTING MEDICAL CONDITION? (YES/NO)
IF YES PLEASE SPECIFY
DO YOU HAVE ANY SPECIAL NEEDS WE SHOULD KNOW ABOUT?(YES/NO)
PLEASE PROVIDE DETAILS
Other Details:
WHAT ARE YOU INTERESTS?

 

 

I WISH TO BE SHORT TERM                                LONG TERM                         VOLUNTEER

 

When would you like to start?                                                                                                                     

When would you like to finish?                                                                                                                    

 

 

PLEASE INDICATE WHETHER YOU HAVE EXPERIENCE IN ANY OF THE FOLLOWING: (ELABORATE)

 

 

Research                                                __________________            Journalism                              _________________________

 

Fund Raising                          __________________            Tour Guide                             _________________________                                                             

Boat handling                          __________________            Field Observation                     ________________________

 

Photography                             __________________            Education                                                ________________________

 

OTHER _________________________________________________________________________

 

 

ARE YOU INTERESTED IN ANY OF THE ABOVE__________________________

 

DO YOU SPEAK A 2^ND LANGUAGE? ___________________________________

 

ARE YOU A HOLDER OF A CURRENT SENIOR FIRST AID CERTIFICATE?

                                                            YES      £                    NO       £

 

 

DAY AND TIME AVAILABLE (please tick)

 

 

PLEASE NOTE:      4 HOURS ARE THE REQUIRED MINIMUM PER SHIFT

 

 

FOR INTERNATIONAL VOLUNTEERS

 

HOME ADDRESS______________________________________________________________________

____________________________________________________________________________________

 

YOUR INTENDED LENGTH OF STAY  IN BUNBURY__________________________

 

 

EMERGENCY CONTACT PERSON AND CONTACT PHONE NUMBER________________________________________________________________________________________________________________________________________________________________________

 

INSURANCE:

 

ALL VOLUNTEERS ARE COVERED BY A VOLUNTEERS INSURANCE POLICY WHILE ON DUTY AT THE DOLPHIN DISCOVERY CENTRE

 

VOLUNTEER ENTITLEMENTS:

 

·         MEALS

 

EACH DAY, ASSISTANT VOLUNTEERS ARE ENTITLED TO A FREE SANDWICH OF THEIR CHOICE, MORNING AND AFTERNOON TEA,  AND UNLIMITED TEA AND COFFEE.

 

ALL OTHER FOOD AND DRINK MUST BE PAID FOR.

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF APPLICANT__________________________DATE_____________________

 

SIGNATURE OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Office Use only
Date Application recieved		Date information inputted into database		Data entered by
Volunteer Start Date		Volunteer Finish Date		Type of volunteer