RMHC NNSW : Volunteer Application Form Newcastle

First Name *

Last Name *

Email Address *

Date of Birth *

Current Address *

Suburb *

Post Code *

Mobile Number *

Work Phone

Are you of Aboriginal and/or Torres Strait Islander origin?

Yes
No

Emergency Contact:

The following is required in case of an emergency

Contact Name *

Relationship *

Current Address *

Phone Number

Mobile Number *

Medical Information:

Have you any medical conditions or physical limitations we need to take into consideration? If so, please describe:

Work and/or Volunteer Experience:

Referee 1 *

Job Title *

Contact Number *

Referee 2 *

Job Title *

Contact Number *

Referee 3

Job Title

Contact Number

Present or Past Employers

Employer

Job Title

Contact Number

Employer

Job Title

Contact Number

Volunteer Organisations

Organisation

Assignments

Dates

Organisation

Assignments

Dates

Important Information

In order to ensure our children and their families enjoy complete security whilst visiting our Ronald McDonald House Programs, volunteers are asked to answer the following question:

Have you ever been charged with a criminal offence? *

Yes
No

Volunteer Statement

I acknowledge that Ronald McDonald House Charities Northern NSW will conduct a Criminal History Check and a Working With Children Check verification. Upon completion of the Volunteer orientation and training process, I agree to abide by all Ronald McDonald House Northern NSW policies and procedures.

I understand that:

My role as a Volunteer may be terminated or my Volunteer Application refused if any details in this application are false.
I will be asked to sign and comply with the Ronald McDonald House Charities Northern NSW Code of Conduct.
All information concerning Ronald McDonald House Charities Northern NSW and the families is strictly confidential and any unauthorised disclosure of such information will be regarded as a breach of trust and may result in termination.

Volunteer Statement *

I acknowledge that I have read, understood and agree with the terms of the Volunteer Statement.

Communication

From time-to-time Ronald McDonald House Charities Northern NSW will send information and updates on our work to help keep families together – please tick if you do not wish to receive these communications.

How did you hear about our volunteer opportunities?

Social media
Referred from a friend
Traditional media (e.g. radio, newspaper, television, etc.)
At an RMHC event

Volunteer with Us

Volunteer Application Form

Emergency Contact:

Medical Information:

Work and/or Volunteer Experience:

Volunteer Statement