Volunteer Application Form 1. Full Name:Mr/Mrs/Ms/Miss/Revd/Dr _____________ __________________________________________ 2. Address: ______________________________________________________ _________________________ ___________________________________________________ 3. Date of Birth: / / (optional) 4. Parish/Organisation (if applicable) : ______________________________________________________ 5. Phone numers: Home __________ ____ Business _______ _______ Mobile ______________ _________ !. "#mail address: ______________________________________________________ _ __________________ $. Please indi%ate t&'e of (olunteer )or* &ou are )illing to do: Telephone/Reception Mailouts Word Processing Databases Research Submission riting !ibrar" Promotions Maintenance Ph"sical/manual tas#s $ther (please specify) _____________________________ __________ +. Do &ou ha(e an& s'e%i,% s*ills/formal -uali,%ations/hoies that %ould e rele(ant %e&g& database development' netor# management' des#top publishing' multi(media' submission riting' mar#eting/media' lobb"ing' team leadership e)perience' *undraising e)perience' etc& Please list & ___________________________________________________________________ _______________ ___________________________________________________________________ _______ _______ . Do &ou s'ea* another language +,S -$ Please state: _____________ ___ ____ 10. hen are &ou a(ailale Wee#da"s % please specify day/hours): _____________________ _________________________ $nl" *or the *olloing speci.c date and tas#: ___________________________ __ _______________ 11. Fre-uen%& Dail" Wee#l" ortnightl" Monthl" $ccasional ,mergenc" onl" 12 . Do "ou have an" condition that ma" a0ect "our participation1 2* so' please provide br detail: ___________________________________________________________________ ______________________
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Volunteer Application Form1. Full Name: Mr/Mrs/Ms/Miss/Revd/Dr _____________ __________________________________________
2. Address: ______________________________________________________ ____________________________________________________________________________ 3. Date of Birth: / / (optional)4. Parish/Organisation (if applicable):______________________________________________________5. Phone numbers: Home __________ ____Business _______ _______Mobile ______________ _________
6. E-mail address: ______________________________________________________ _ __________________7. Please indicate type of volunteer work you are willing to do:
Telephone/Reception ( Mailouts ( Word Processing ( Databases ( Research ( Submission writing ( Library ( Promotions ( Maintenance ( Physical/manual tasks ( Other (please specify) _____________________________ __________ 8. Do you have any specific skills/formal qualifications/hobbies that could be relevant?
(e.g. database development, network management, desktop publishing, multi-media, submission writing, marketing/media, lobbying, team leadership experience, fundraising experience, etc. Please list.
___________________________________________________________________ _______________
___________________________________________________________________ _______ _______
9.Do you speak another language? YES ( NO ( Please state: _____________ ___ ____10. When are you available?
Weekdays (please specify day/hours):_____________________
_________________________Only for the following specific date and task: ___________________________ _________________11. Frequency
Daily ( Weekly ( Fortnightly ( Monthly ( Occasional ( Emergency only (12. Do you have any condition that may affect your participation? If so, please provide brief detail:
___________________________________________________________________ ______________________
13. Do you give permission for your name to be added to Anglicare Australias mailing list to receive further information about Anglicare activities? YES ( NO (In offering my services as a volunteer I agree to respect Anglicare Australias ethos, as reflected in its code of ethics and strategic plan. I agree to treat any information obtained whilst working as an Anglicare volunteer as confidential. I give permission for my name to be added to the Anglicare Australia Volunteer database. Should my circumstances change in relation to my volunteer offer, I will advise Anglicare Australias Administration and Network Support Co-ordinator.
Volunteers signature: ________________________________________ Date: _______________ _________
PLEASE FAX BACK THIS FORM TO ANGLICARE AUSTRALIA on (02) 6230 1704 or MAIL to PO Box 4093 ACT 2602 Telephone enquiries: 02 6230 1775 Email: [email protected]
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