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?

YOUR AVAILABILITY

Volunteers meet with their client for 1-2 hours per week. Do you have capacity to fulfil this requirement? *

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. * I Agree

1. Name *

Relationship *

Address *

Telephone: *

2. 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? *

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

1. Name *

Phone *

Relationship *

2. Name *

Phone *

Relationship *

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 No

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 No

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 No

Date of Declaration *

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DAWN volunteer application

YOUR DETAILS

Volunteers will be matched with recipients who share similar interests or background as a starting point for building an ongoing connection.

PROFESSIONAL AND VOLUNTEERING EXPERIENCE

YOUR AVAILABILITY

EMERGENCY CONTACT DETAILS

PERSONAL DETAILS

REFERENCES

DECLARATION