Volunteer Application Form - Geelong Australia

	Question Time
	School Holiday Program Enrolment - Spring 2008
	Submission to Proposed Local Law
	Impetus 08
	Volunteers

Volunteer Application Form

Fields marked with need to be completed
Section 1 - Personal Details
	Title:
	Given Name:
	Surname:
	Preferred Name:
	Address:
	Suburb:
	Post Code:
	Day Phone:
	Mobile Phone:
	Email Address:

Section 2 - Position Details
What kind of volunteer work are you interested in?
	Meals on Wheels	Geelong Otway Tourism
	National Wool Museum	Heritage Centre
	Youth Activities	Working with Children
	Other

	Why are you interested in volunteering at the City of Greater Geelong?
	What skills and experience do you bring?
	Do you speak any other languages? If so, please list them and your proficiency level.
	Are you aware of any condition that may affect your ability to perform the duties of a volunteer at the City of Greater Geelong?


Section 3 - Availability
Please select which days of the week, frequency and times you are available:
	Weekly	Monthly
	Fortnightly	Other



Section 4 - Referee Details
Please provide the two referees who can tell us about your work / volunteering history and skills. These people cannot be related to you.
Referee #1		Referee #2
Name:		Name:
Contact Number:		Contact Number:

Section 5 - Declaration
I declare that the information provided in this form is true and correct. The personal information requested on this form is being collected for Council use, which will be solely used for this primary purpose or directly related purposes. In addition, the informant understands that they may apply to Council for access and/or amendment of the information. This information will not be disclosed except as required by law.
YES