Application form Local Volunteers

Application form
Local Volunteers

Use this form to apply for a volunteer’s position at the Jesuit Refugee Service Australia.

Personal details and emergency contact

Name:
Address:
	State: Postcode: Tel: Fax: Name: Tel: eg. asthma, bad back etc.
Tel/Fax:
Email:
DOB:
Emergency contact:
Health issues:

Education, employment history and skills

Employer: Position: Responsibilities: Employer: Position: Responsibilities: Institution: Year completed: Qualification and major: Institution: Year completed: Qualification and major: Organisation: Year: Duties: Organisation: Year: Duties: Please list your employment history (optional):

Please list your education history (optional):

Please list your previous volunteer work experience:

What are your skills?

What are your interests and hobbies?

Volunteer work interest

Which type of volunteer work would interest you? Arrupe Place Reception Hospitality and Accompaniment Home Visiting Casework English Classes Employment Support Elizabeth Bay Office & Blaiket Shelter General Office Duties Accompaniment Specific Assistance with Blaiket Shelter Fundraising Others (please specify)

A

	Mon	Tue	Wed	Thu	Fri
AM
PM

vailability and reasons for application

Please tick your availability: Weekly Fortnightly Monthly Other __________________________________ What days/time are you available for volunteer work (indicate hours)?

How did you hear about JRS and why do you wish to work here?

Personal referee

Name:
Company:
Contact details:

Signature: ______________________________________________ Date: ___ / ___ / ______

Please return completed form to the Volunteers Coordinator: PO Box 522, Kings Cross NSW 1340 Fax: [phone]

For more information: visit: www.jrs.org.au or ph: [phone]

Code of Conduct: All employees and staff of JRS work according to the JRS Code of Conduct and the JRS Child Protection Code of Conduct. It is a requirement of your engagement with JRS that you read, have understood and signed this documents, which will be provided to you on interview. If necessary a police check may also be required.


OFFICE USE ONLY
Received:

Reference checked:

Staff member:

Interview date:

Placement:



Your privacy: JRS respects, and is committed to protecting, your privacy. All personal information collected by or supplied to us is protected by privacy law. Personal information will remain private and will only be used for the purposes outlined in our privacy policy. For more information, visit our websites.
Thank you for your interest in the work of JRS.