Title:
 
RequiredFirst Name:
 
RequiredFamily Name:
 
Date of Birth:
 
Gender:
 
Personal Phone:
 
Personal Mobile:
 
E-mail Address:
 
Address Line 1:
 
Address Line 2:
 
Suburb:
 
State:
 
Postcode:
 
Are you an Aboriginal or Torres Straight Islander?
 
Secondary Language Spoken:
 
Do you have a disability?
 
Disability Type:
 
Primary Language Spoken:
 
Unemployed?
 
What would be your preferred locality (geographical area) for your volunteer role?
 
How did you hear about us?
 
Are you from a Non-English Speaking background?
 
Do you have any particular skills or training that might be relevant for prospective volunteer roles?
 
What type of volunteer work would you prefer?
Clerical/AdministrationWorking with the ElderlyWorking with ChildrenWorking with the DisabledWorking with AnimalsRetailOutdoor/GardeningDrivingVisiting schemesHandypersonHospitalityComputers/ITArts/Culture/HeritageOther
First Choice
Second Choice
 
What do you hope to gain from volunteering?
Community Participation
 
Group Skills
 
 
Organisational Skills
 
Consent: To collect my data and pass on to referred member organisations
I give consent for my information to be collected and passed on to our funding bodies and statistical data to be collected, and consent to be contacted in the future. I acknowledge that the organisation to which I am referred may require a police check. I acknowledge that if for any reason, I use my own vehicle in the course of volunteer work I shall have no entitlement to claim running expenses, maintenance or loss or damage whatsoever from NRCG.
 
           


Telephone 02 6621 7397 | Website: nrcg.org.au