VOLUNTEER APPLICATION FORM ← BackThank you for your response. ✨ PERSONAL INFORMATION First Name (required) Surname (required) Date of Birth (YYYY-MM-DD) (required) Mobile (required) Email (required) Address City State Postcode How did you hear about us? Select one option Search Engine Social Media Friend or Family TAFE or University Friend or Family What days would you like to volunteer? Monday Tuesday Wednesday Friday Saturday (Op Shop) How many hours are you looking to contribute? 3 hours or less 3 to 5 hours 5 to 10 hours 10 to 15 hours 15 hours or more Which times suit you best? All day (10am – 3pm) Morning 10am – 12pm Afternoon 12pm – 3pm Night (Outreach only) 5:30pm – 10pm Which areas or volunteer roles are you interested in? Admin IT Assistance Fundraising Grant Writing Cleaning Building Maintenance Community Pantry Street Outreach – Outreach Worker Street Outreach – Food Preparation Volunteer Food Preparation (cooking meals in your own home) Op Shop Art-therapy Event Organisation Public Relations or Social Media Do you hold a current Working With Children Check Card? If yes, please provide WWCC number:(required) Do you have any past experience in volunteer work? Who was this with and what roles did you undertake?(required) We would LOVE to know why you’re interested in volunteering with Life-Gate? What motivates you, and why would you like to be part of our team? Education & Professional Training:Please attach current Resume, or list all short course, certificates, diplomas or degrees you have completed or are currently undertaking.(required) Work Experience: List all work experience you had, including the position you held, the company and your dates of employment. Alternatively, you may attach a current Resume. (required) Is there any other information you can provide that may be helpful to know?Eg. Would you require additional support in your volunteering?Would anything prevent you from getting a Working With Children’s Check?Do you have any travel plans or other circumstances for which you would need time away from volunteering? EMERGENCY INFORMATION Name of Doctor Phone EMERGENCY CONTACT Full Name (required) Mobile (required) Relationship to you (required) REFERENCES Please provide the names and contact details of at least two referees. These should include a current or former employer, a friend or family member, and a previous volunteer manager or co-worker. Name (required) Relationship to you Mobile (required) Name (required) Relationship to you Mobile (required) Name Relationship to you Mobile VOLUNTEER AGREEMENT Life-Gate is a Christian organisation. While it is not a requirement for volunteers to share our faith in Jesus, we ask all volunteers to show respect for the Christian beliefs that underpin our organisation. For more information about what we believe, check out Our Values. Do you agree to act in a respectful manner towards Life-Gate and our volunteer team during your volunteering? (required) Select one option Yes No By submitting your information, you’re giving us permission to CALL OR email. SUBMITSubmitting form Δ
Life-Gate Inc 