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About
Board
Donate
Our History
Volunteer
Disability Services
Accommodation Services
Employment Pathways
Lifestyle Programs
Coordination of Support
Plan Management
Club Lane
Our Businesses
Business Support Services
Plant Protector Sleeves
Green Team
Clean Team
NDIS
Information
Careers
Current Vacancies
Contact Us
Volunteer Application Form
Step
1
of
4
25%
Name
*
First
Last
Other names known by, eg. maiden name
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
Email
*
Date of Birth
MM slash DD slash YYYY
This section is used to confirm dates for Criminal Record check purposes. It is optional.
Place of Birth (City, State, Country)
*
Drivers Licence
*
Yes
No
Emergency Contact Person
Please include their full name; and relationship to you. eg. Partner
Emergency Contact Phone Number
Licence number
State of issue
Availability
How many hours a week can you volunteer?
*
Please note we request our volunteers be available for a minimum of 6 hours, or 1 day per week.
Please tick the days you are available to volunteer
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
CTRL click to select more than one day of availability.
Why do you wish to volunteer with us?
*
Please also specify if it is for study purposes or if you wish to find paid work as a result of gaining additional experience or both.
If you are applying to volunteer as part of an accredited course of study, what is the name of the course and where are you studying?
e.g. Certificate IV Disability Services, TAFE, Lismore
Number of hours of work experience requried
60 hours
100 hours
120 hours
240 hours
Other
From what date are you available to start volunteering with us?
*
MM slash DD slash YYYY
Education- Please list most recent first
Include Secondary/Trade/ Tertiary Education; Year from/ to; Qualifications/Trade/Results Achieved
*
eg. Trade Certificate, 2008-10, Certificate IV Community Services Work
Education continued- Include Secondary/Trade/ Tertiary Education; Year from/ to; Qualifications/Trade/Results Achieved
Employment- Please list most recent first
Please list Employers Name, Position Held and Duration of Employment
Name of Supervisor/ Referee; Contact Details; and Reason for Leaving
Employment continued- Please list Employers Name, Position Held and Duration of Employment
Name of Supervisor/ Referee; Contact Details; and Reason for Leaving
References
Please list 2 people we can contact as your Referees. Please note that Referees cannot be relatives or friends. A Referee can be your current or previous workplace Supervisor or Manager, Teacher or Lecturer.
Name of Referee; Title; Company; and Contact Details
*
eg. Joe Bloggs, Manager; Book World; 0666 --- ---
Name of Referee; Title; Company; and Contact Details
*
Have you ever made a Workers Compensation Claim?
*
Yes
No
If yes, please provide details
Employer; Date of Accident; and Nature of Injury
Do you have a disability/ medical condition or problem with your health that could affect your ability to perform as a volunteer?
*
Yes
No
If yes, please provide details:
All volunteers must have completed a police check before they commence volunteering. Have you ever been convicted of a criminal offence, or been charged without conviction?
*
Yes
No
Please note- Disclosure does not automatically disqualify you from becoming a volunteer. Once a volunteer is approved to commence they are issued a volunteer information package which includes a Criminal Record check form. Please note- We are unable to process criminal record checks without signed forms and 100 points of identification.
If yes, if you wish, you may provide details below:
Applicant Declaration
I consent to Multitask undertaking a 'Criminal Record Check'. All the information in this application is to the best of my knowledge complete and correct. I understand that Multitask reserves the right to verify all information contained within this application and that any false statement may be sufficient for my rejection as an applicant, and my dismissal . I acknowledge that should I choose to apply for paid employment with Multitask in the future, volunteering will not guarantee an offer of paid employment will be made.
*
Yes
No
Date of Application Submission
*
MM slash DD slash YYYY