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Contact Info
Suite 4, Level 1, 687 Doncaster Road, Doncaster VIC 3108
doncare@doncare.org.au
9856 1500
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YES, I want to volunteer in Doncare's DAWN program
YOUR DETAILS
First Name
Surname
Preferred Name
Email
Home Phone
Mobile
Work Phone
Address Lines
Suburb
Postcode
Date of Birth
Country of Origin
Languages Spoken
Do you have any children? If so, what are their ages?
Volunteers will be matched with recipients who share similar interests or background as a starting point for building an ongoing connection.
Briefly state why you are interested in becoming a volunteer in the DAWN program
What interests and hobbies do you have?
Do you have any relevant life or work experience? If yes, please provide details:
Please include any other information that may assist us to match you. For example: experience & knowledge; cultural heritage; childhood; family; travel
Have you been a Doncare client in the last two years?
Yes
No
How did you find out about volunteering at Doncare?
Doncare website
Word of Mouth
Facebook
Instagram
Eastern Volunteers
Seek
Go Volunteer
Past client
Other
PROFESSIONAL AND VOLUNTEERING EXPERIENCE
Work Experience
Please list any qualifications or training you have completed that might be relevant to this position
Have you undertaken volunteering work before?
Yes
No
If yes, what type of volunteer work have you undertaken?
Volunteers meet with their client for 1-2 hours per week. Do you have capacity to fulfil this requirement?
I work full-time
I work part-time
I currently do not work
I am retired
I am a student
I am a shift worker
YOUR AVAILABILITY
Are you available to volunteer during business hours?
Yes
No
Can you make a commitment to volunteer for a minimum of 12 months?
Yes
No
Would you be available to attend a monthly meeting on a Wednesday?
Yes
No
EMERGENCY CONTACT DETAILS
Please provide contact details for two (2) people that we can contact in the event of an emergency. In doing so, you authorise Doncare to contact the people listed on your behalf in the event of an emergency.
Yes
Name
Relationship
Address
Telephone
Name
Relationship
Address
PERSONAL DETAILS
Is there any medical issue or injury that could affect the type of volunteering you undertake?
Yes
No
If yes, please describe
Do you have a current Victorian Licence?
Car
Heavy Vehicle
Light Rigid
Medium Rigid
Heavy Rigid
None of above
Licence number
Expiry
Restrictions
Do you have access to a car?
Yes
No
Have you had any motor vehicle collisions in the past 12 months? If yes, please describe
Have you received any traffic infringements in the last 12 months? If yes, please describe
REFERENCES
Please provide details of two people who are prepared to provide a reference for you. A professional reference for an experienced worker is typically a former employer or colleague
Yes
REFERENCES 1
Name
Phone
Relationship
REFERENCES 2
Name
Phone
Relationshio
DECLARATION
I agree to abide by the policies and procedures adopted by Doncare's DAWN program. I understand that before I can undertake voluntary work, I must have successfully completed an orientation period and training
Yes
I declare that the information I have entered on this application form as I have answered is true and correct. I agree that I am willing to undergo a Police Check if required.
Yes
I understand and agree that if I wish to withdraw this authorisation it will be my responsibility to inform Doncare of this and if there is any issue that I am unsure of, I will ask for the issue to be explained to my satisfaction by Doncare staff.
Yes
Date of Declaration
Subscribe to Doncare Newsletter
Yes
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