Email Volunteer Co-ordinator

Your Name (required)

Address

Postcode

Home Phone (required)

Mobile Phone

Your Email

Date of Birth
 Male Female

Contact in case of emergency

Relationship to Applicant

Address

Phone (home)

Phone (mobile)

Availability for volunteer work
 Weekdays a.m. p.m.

What are your skills and previous work experiences?

Are you currently involved at Sandybeach?
 Yes No

If yes,in what way?

If no,how did you hear about us?
 Course &Event Guide Website Referred Other

If you were referred by an organization or agency,please indicate which one

What are your interests and hobbies?

Are you currently:
 employed unemployed retired home manager student

Do you have your own transport?
 yes no

Do you use public transport?
 yes no

Do you have any disability or medical condition that would prevent you from doing certain types of work?
 yes no

Are you currently taking medication of which we should be aware?
 yes no

If yes,please give more information?

As a basic duty of care,Sandybeach Centre conducts Police Checks on all volunteer and paid staff
working with childern,older people,people with disabilities and finances. Do we have your permission for a police check to be conducted?
 yes no

1. Name

1. Phone

2. Name

2. Phone

Tick this box when you're ready to send your application to the Sandybeach Volunteers' Co-ordinator.