VOLUNTEER REGISTRATION FORM
 Most of the information collected on this form is necessary for
Wimmera Volunteers to provide a service to you. Other personal information asked (for
example, questions on language use, ethnic background, and employment status) will only be
used for compiling general statistics to governments, without identifying any personal details.
This is to meet contractual agreements to government funding bodies. Please tick where
appropriate. The information will be kept on file for record purposes only and will remain
confidential between yourself, Wimmera Volunteers, and organisations you are referred to.

Under the National Privacy Act you have the right to remain anonymous. However,
should you choose not to answer particular questions there may be implications with regard
to your application to volunteer.

By filling out this form, you will be contacted by one of our staff to arrange an appointment
to come into the office for an Introduction To Volunteering session.

PERSONAL INFORMATION
Name:

Address:


Telephone/s:


E-mail:


Gender:
Female Male

Date Of Birth:


Age Group:
17 & under 18-24 25-34 35-44 45-54 55-64 65 &over

Were you born in Australia:
Yes Other
Languages Spoken:


Do you identify as:
An Aboriginal or Torres Strait Islander?     Yes No
Disabled person/having a chronic illness? Yes No
Do you have a case worker? Yes No

How did you find out about Wimmera Volunteers?
Centrelink Job Network Member Community Work Co-ordinator Other



Ready To Send


SHORT TERM VOLUNTEER REGISTRATION FORM
The information collected in this form will help us to help you be referred to the short term role you are interested in.  This information is collected by Wimmera Volunteers Inc. and entered onto a short term volunteering database.  Organisations that wish to access this database have to be registered with Wimmera Volunteers and have to follow strict rules in accessing the list.  Limited personal information is given to organisations, but with your permission, your name, phone number and mailing address is given to the organisation and in turn they will contact you for the event. 

After you fill out this form, you will be contacted by a Wimmera Volunteers staff member.

 

PERSONAL INFORMATION
Name:

Address:


Telephone/s:


E-mail:


Gender:
Female Male

Date Of Birth:

 

Volunteer Area Of Interest (check all that interest you)


Fundraising
Yes No Maybe

Festivals/Events
Yes No Maybe

Ushers/Waitresses
Yes No Maybe

Gate Keeping
Yes No Maybe

Host/Hostess
Yes No Maybe

Food Preparation
Yes No Maybe

Promotional Work
Yes No Maybe

Preparation (e.g. setting up for field days)
Yes No Maybe

Administration
Yes No Maybe

Outdoor/Environment
Yes No Maybe

Sales
Yes No Maybe

Other




Ready To Send


 

Helping Communities Help Themselves