Volunteer Application - Spiral Community Hub

Thank you for your interest in becoming a Spiral Volunteer!

Please complete the following form and we'll get in touch with you very soon!

Personal details
Your Name:	(required)
Date of Birth:	day: month: year:

Address
street and number
suburb/city
state
postcode

Contact Details
home phone
work phone
mobile phone
fax:
email:

Health and Fitness
Do you have any current health or fitness problems? Yes No
If Yes, please provide details

Certificates and Licenses
Do you have a current First Aid Certificate? Yes No
Do you have a current Drivers License? Yes No

Contact in Case of Emergency
Next of kin or person to contact:
home phone:
work phone:
mobile phone:
Doctor's name:
Doctor's phone:

Do you identify as any of the following?
Aboriginal or Torres Strait Islander
Long term unemployed
Refugee Background
CALD (Culturally and Linguistically Diverse) background?
Recent Graduate
Having a disbility
Please provide details if you wish to

Previous Community Work experience (Please acknowledge all experience, paid and unpaid, including aporting club associations, P&C, volunteer, not for profit groups, etc...

previous community work experience A
year commenced work: - year completed: - organization/group:
roles and responsibilities:	reason for leaving:	skills developed/utilized:

previous community work experience B
year commenced work: - year completed: - organization/group:
roles and responsibilities:	reason for leaving:	skills developed/utilized:

previous community work experience C
year commenced work: - year completed: - organization/group:
roles and responsibilities:	reason for leaving:	skills developed/utilized:

previous community work experience D
year commenced work: - year completed: - organization/group:
roles and responsibilities:	reason for leaving:	skills developed/utilized:

previous community work experience E
year commenced work: - year completed: - organization/group:
roles and responsibilities:	reason for leaving:	skills developed/utilized:

Other Work experience (Please acknowledge all types of work

Previous other work experience A
year commenced work: - year completed: - organization/group:
roles and responsibilities:	reason for leaving:	skills developed/utilized:

Previous other work experience B
year commenced work: - year completed: - organization/group:
roles and responsibilities:	reason for leaving:	skills developed/utilized:

Previous other work experience C
year commenced work: - year completed: - organization/group:
roles and responsibilities:	reason for leaving:	skills developed/utilized:

Previous other work experience D
year commenced work: - year completed: - organization/group:
roles and responsibilities:	reason for leaving:	skills developed/utilized:

Previous other work experience E
year commenced work: - year completed: - organization/group:
roles and responsibilities:	reason for leaving:	skills developed/utilized:

What formal Training/Education have you recieved?

Formal Training/Education A
year commenced: - year completed: - course: level achieved: - institution:

Formal Training/Education B
year commenced: - year completed: - course: level achieved: - institution:

Formal Training/Education C
year commenced: - year completed: - course: level achieved: - institution:

What do you consider your personal skills/strengths and abilities?

What other skills do you want to develop?

What sort of work are you interested in doing?

What sort of work are you not willing to do?

What hours are you available?

Time	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm

How did you hear about Spiral?

What do you hope to gain from working with Spiral?
Work Experience
Training/Mentoring/Peer Support
community Enterprise/Initiative Development
Being involved in Social Change and Community Building
Assisting in creating a space for community initiatives
Promoting and modelling social and economic alternatives
Employment
Other

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