DAWN Mentor Volunteer Application Form | Family Violence Support

Thank you for your interest in volunteering with Doncare’s DAWN mentoring program.

DAWN Mentors support women recovering from family violence by providing connection, guidance and practical support as they rebuild their lives. By completing this application form, you are taking the first step toward making a meaningful and lasting difference in your local community across Melbourne’s eastern suburbs.

YOUR DETAILS

First Name

Surname

Preferred Name

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

How did you find out about volunteering at Doncare?

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

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?

YOUR AVAILABILITY

Are you available to volunteer during business hours?

Yes

Can you make a commitment to volunteer for a minimum of 12 months?

Yes

Would you be available to attend a monthly meeting on a Wednesday?

Yes

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

If yes, please describe

Do you have a current Victorian Licence?

Licence number

Expiry

Restrictions

Do you have access to a car?

Yes

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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Doncare

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Thank you for your interest in volunteering with Doncare’s DAWN mentoring program.

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

REFERENCES 1

REFERENCES 2

DECLARATION