Volunteer Application Form

Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

MM

DD

YYYY

Volunteer Positions *

Op Shop Assistant

Warehouse Sorter

Van Assistant

Vinnies Re Sew Sewer

Food Bank Sorter

Local Conference Member

Marketing

Street Appeal Collector

Event Support Crew

License to Drive *

Do you have a current full New Zealand driver's license?

Yes

No

Screening Checks *

As part of our screening process, certain checks may be required to be undertaken for certain volunteer positions e.g. criminal, credit and/or qualifications. If so, you will be asked to complete further documentation for this.

I understand

Health Conditions *

Do you have any medical, physical or psychological conditions (including those caused by gradual process, disease or infection), which may affect your ability to attend work or properly and safely carry out the tasks and responsibilities of the job you are applying for?

Yes

No

Criminal Convictions *

Have you been convicted of any offence against the law within the last seven years or do you have any criminal charges pending (apart from minor speeding or parking offences)?

Yes

No

Emergency Contact *

First Name

Last Name

Emergency Contact Phone Number *

Country

(###)

###

####

Privacy Act 1993 *

The information which you supply on this application form and as part of your application is solely to assess your suitability for volunteer work with Society of St Vincent de Paul. The information you provide will be managed in accordance with the information privacy principles. This information will not be used for any other purpose and will be held on file by Society of St Vincent de Paul. Information on unsuccessful candidates will be confidentially destroyed.

I understand