About your Organisation;

Organisation Name: ______

Postal Address:______

______

______

Postcode:______

Residential Address:______

______

______

Telephone:______

Fax______

E-mail______

Person Responsible for coordinating Volunteers:______

______

Title/Position______

______

Local Council Area______

______

What Volunteer Opportunities are available in your Organisation:

□Activity Group Worker(craft,discussion,games, music, woodwork, sewing,outings, beauty,hairdressing etc)

□Administration (clerical, reception, mailouts)

□Animals

□Arts (galleries, acting, heritage,theatre)

□Café /Kiosk (preparing & serving light meals)

□Child Care(creche, playground, kindergarten)

□Children/Youth (camp leaders, supervisors,

vacation care)

□Computer (word processing), data entry, spreadsheets)

□Driver (car or bus)

□Emergency Services

□Environment/ Conservation

□Finance (accountant, bookkeeper, cash handling, treasurer)

□Fundraising

□Gardener, Maintenance & Trades

□Hospital

□Information (Community help line services)

□Interviewing, Assessing, Counselling

□Kitchen/Meals (cooking)

□Library (cataloguing,home & toy library)

□Management (committees, coordinators, event organization, business advice)

□Marketing,Publicity, Promotion

□Media (community radio, television, & newsletters)

□Research

□Shop Assistant

□Support Worker (Visitor, companion, carer assistance with shopping & Outings)

□Tourism

□Tutor, Teacher

□Other ,please give detail;

______

Which best describes the prime focus of your Organisation? Please Tick one box only:

□Arts

□Education

□Emergency Services

□Environment

□Health

□Recreation /Sport

□Welfare /Community

Please tick EACH box if your organisation:

□ is close to public transport

□ reimburses expenses

□ provides training for Volunteers

□has a designated volunteerManager

□ provides car parking

□ is accessible to people with a Physical disability

Does your Organisation have:

□ Public Liability Insurance

□ Personal Accident Insurance

Insurance Company:______
______

Policy Number______

______

Expiry date______

+++++++++++++++++++++++++

Please indicate when Volunteers are required:

□ Days

□ Evenings

□ Weekends

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Please return to:

LimestoneCoast Volunteer Resource Centre

PO Box 555

Naracoorte SA 5271

Ph (08) 8762 2133

Fax: :(08) 8762 3139

E-mail: