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Volunteer Application | for all the information on Volunteering,check here |
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Please complete every question and type "NA" in any boxes that do not apply or you do not wish to provide ... the more information you supply, the better placement we can find |
About you
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| Full Name: |
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| Email: |
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| Ph (w): |
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| Ph (h): |
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| Mobile: |
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| Fax: |
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| Postal: |
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| Suburb: |
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| Postcode: |
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| Gender: |
Female Male
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| Date of Birth: |
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| Residential: |
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| Suburb2: |
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| Postcode2: |
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| Is there any work you can't do? |
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| Referee Name & Phone Number: |
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| Would you like to be on our email / post list? |
Yes No
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| Are you volunteering as part of Centrelink? |
Yes No
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Your Volunteering Opportunities
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| With which type of agency/ies would you like to volunteer? |
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| What skill(s) do you wish to use in your volunteer work? |
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Thankyou for your enquiry, we shall respond via email as quickly as possible.
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If you would prefer us to contact by a different method, please select below...
Email
Work Phone
Home Phone
Mobile
Fax
Post
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| How did you hear about us? |
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By submitting this enquiry you acknowledge that you service is free and you have read and understood the Rights and Responsibilities of Volunteers, Confidentiality Agreement and give permission to the Manjimup Volunteer & Resource Centre to act on your behalf by providing you with a placement and supplying your details to agencies in accordance with the privacy act. You can dowload this information here
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