Volunteer | Support Socially Isolated Seniors in Manningham

Please select which Social Support program you wish to volunteer in: *

First name *

Surname *

Preferred Name

Email *

Home Phone

Mobile *

Work Phone

Address lines *

Suburb *

Postcode *

Date of birth *

Country of Origin *

Languages spoken *

Gender *

Please tell us why you would like to volunteer in Doncare's Social Support program. *

What interests and hobbies do you have? *

Are you involved with any local community groups, activities, church, service or club? *

Please include any other information that may assist us to match you. For example: experience & knowledge with older people; cultural heritage; childhood; family; travel *

Please indicate whether you are interested in being matched with someone who shares common interests. For instance, you may wish to be matched with a female or a male. Or perhaps someone who speaks the same language as you.

How did you find out about volunteering at Doncare? *

Work Experience *

Education/Qualifications *

Have you undertaken volunteering work before? * Yes No

If yes, what type of volunteer work have you undertaken?

When are you available to volunteer? * Please Select Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Saturday AM Saturday PM

How often would you like to volunteer? *

What date would you be available to commence volunteering? *

Please provide contact details for 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

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

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

Can you make a commitment to volunteer for a minimum of 12 months? * Yes No

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 *

I agree to abide by the policies and procedures adopted by Doncare Social Support for Seniors/Doncare Community Visitors Scheme. 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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Social Support Volunteer Application

Yes! I want to volunteer in Doncare's Social Support Program

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YOUR DETAILS

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

MATCHING PREFERENCES

PROFESSIONAL AND VOLUNTEERING EXPERIENCE

YOUR AVAILABILITY

EMERGENCY CONTACT DETAILS

PERSONAL DETAILS

REFERENCES

Declaration