VOLUNTEER APPLICATION FORM Go backYour message has been sent PERSONAL INFORMATION First Name (required) Warning Surname (required) Warning Date of Birth (YYYY-MM-DD) (required) Warning Mobile (required) Warning Email (required) Warning Address Warning City Warning State Warning Postcode Warning How did you hear about us? Select one option Search Engine Social Media Friend or Family TAFE or University Friend or Family Warning What days would you like to volunteer? Monday Tuesday Wednesday Friday Saturday (Op Shop) Warning 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 Warning Which times suit you best? All day (10am – 3pm) Morning 10am – 12pm Afternoon 12pm – 3pm Night (Outreach only) 5:30pm – 10pm Warning 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 Warning Do you hold a current Working With Children Check Card? If yes, please provide WWCC number:(required) Warning Do you have any past experience in volunteer work? Who was this with and what roles did you undertake?(required) Warning 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? Warning Education & Professional Training:Please attach current Resume, or list all short course, certificates, diplomas or degrees you have completed or are currently undertaking.(required) Warning 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) Warning 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? Warning EMERGENCY INFORMATION Name of Doctor Warning Phone Warning EMERGENCY CONTACT Full Name (required) Warning Mobile (required) Warning Relationship to you (required) Warning 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) Warning Relationship to you Warning Mobile (required) Warning Name (required) Warning Relationship to you Warning Mobile (required) Warning Name Warning Relationship to you Warning Mobile Warning 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 Warning By submitting your information, you’re giving us permission to CALL OR email. Warning. SUBMITSubmitting form Δ
Life-Gate Inc 