VOLUNTEERING Please complete as many of the details below as you feel comfortable. Additional screening forms may be required. Please note the St Vincent de Paul Society has a large number of volunteer applications and cannot guarantee to place volunteers in their service of choice but will always recognise your rights as a volunteer. Details of Applicant: Title:
Mr
Mrs
Ms
Miss
Dr
Other _________
Name: (Title)
(First name)
(Surname)
Postal Address: (Address line 1)
(Address line 1)
(Suburb)
Phone:
(State)
(H)
(B)
(Postcode)
(Mob)
Email: Gender:
Male
Female
Date of Birth: ____________________
Occupation: Skills/Interests: Other:
Do you have a current First Aid Certificate?
Yes
No
Do you hold a current Drivers Licence? Which type: Car Light Rigid Truck
Yes
No
Do you have your own transport available for volunteer work?
Yes
No
Availability:
Day Time
After Hours
Weekends
Commitment Level:
One Off
Regular
Long Term
Further Comments Please send this form to your local St Vincent de Paul Society State Office: ACT
PO Box 642, Mawson ACT 2607
ABN: 167 328 52 554
volunteers@stvincanb.com.au
NSW
PO Box 5, Petersham NSW 2049
ABN: 46 472 591 335
volunteer@vinnies.org.au
NT
PO Box 1468, Nightcliff NT 0814
ABN: 11 300 386 527
admin@svdpnt.org.au
QLD
PO Box 3351, South Brisbane QLD 4101
ABN: 14 211 506 904
volunteer@svdpqld.org.au
SA
PO Box 1804, Adelaide SA 5001
ABN: 73 591 401 592
volunteering@svdpsa.org.au
TAS
191 Invermay Rd, Invermay TAS 7248
ABN: 41 003 138 898
svdptas@bigpond.net.au
VIC
Locked Bag 4800, Box Hill VIC 3128
ABN: 28 911 702 061
volunteer@svpd-vic.org.au
WA
PO Box 473, Belmont WA 6984
ABN: 18 332 550 061
volunteer@svdpwa.org.au
Thank you