Puddle Jumpers Incorporated – Volunteer Application Form
Volunteer Application Form
PERSONAL DETAILS
Name: ______D.O.B: ……./……./…….
Address: ______
Phone: (H) ______(W) ______(M) ______
Email: ______
How did you hear about Puddle Jumpers?
Volunteering SA p Facebook p
Family p Twitter p
Friends p Other p
Training, Education & Experience
High School attended: ______Year of Completion: ______
TAFE attended & Course: ______Year of Completion: ______
University attended & Course: ______Year of Completion: ______
Do you have any of the following: (Please attach (or bring to interview) photocopies of all)
National Police Certificate p Food Handling Certificate p
Bus Driver’s Licence p Child Safe Environments Certificate p
Car Driver’s Licence p First Aid (Senior or Basic) p
Bronze Medallion p
Other p
Please give details: ______
______
Do you have any experience…
Working with people that have a disability? Yes p No p
Working with Newly arrived / refugees / or Indigenous people? Yes p No p
Working with people that have English as Second Language? Yes p No p
Working with Children &/or Young People? Yes p No p
Please provide details of above experience: ______
______
______
______
WORK HISTORY (Voluntary and/or Paid Employment)
Place of Work / Contact Names/Number / Duties / Voluntary/ Paid Employment / Start and/or Completion DatesDo you have access to a vehicle? Yes p No p
Do you have any children that you will be requesting attend camps? Yes p No p
AREAS OF INTEREST
I am interested in finding out more about the following volunteer positions:
(Please tick all that apply)
Camps, Community Events & Activity Days
Program Coordinator (overseeing & implementing camp program of activities on camp) p
Child Protection Officer (assists with making notifications, child protection concerns) p
Volunteer Facilitator (working with the volunteers on camps, & nightly reviews) p
MinTies Mentor (working with 13-15 year old clients and developing their leadership skills) p
Team Leader (making sure all kids & volunteers are ok in small group) p
Camp Mentor (working 1:1 with kids on camps, activity days, events) p
First Aid Officer (First Aid Certificate required) p
Bronze Medallion (Life Guard for swimming / water activities) p
Bus Driver p
Cook (working with kitchen team to make sure meals go out) p
Kitchen Hand (working in kitchen team to make sure meals go out) p
Campsite Support (maintenance) p
I am also interested in…
Running an Activity on Camp / Activity Day (Single activity or several) p
Assisting with planning events, camps, (Single event or several) p
Free Food Nights
Food collections p
Food sorters p
Food night set up p
Food distributors p
Free café food assistants p
Op Shop Volunteers
Delivery collection drivers p
Donation sorters p
Retail p
Supervisors p
Merchandise displays p
Offices
Receptionist (answering phones and emails, scheduling appointments) p
Administration Assistant (Range of Admin, i.e. photocopying, filing, phone calls, typing) p
Office Support (Range of hands on activities, fixing, cleaning, building) p
Drivers (General collections, pick-ups and drop offs for offices) p
Finances (Invoices, receipts, financial reports) p
Crafty volunteers (making giving plates, cards, etc.) p
Sewing volunteers (sewing heat packs, headbands, bags, etc.) p
Records Management (Database update, design & maintenance) p
Promotions & Marketing
Newsletters (Coordinating Newsletter Articles & Layout) p
Website (maintenance, design, content, etc) p
Volunteer Recruitment (Schools, Tafe’s, Universities, Youth Groups) p
Promotional Materials (Design and Coordination of Flyers, handouts, etc) p
Assisting with presentation / talks to potential volunteers / Sponsors / Partnerships p
Committees / Sub-Committees of Board of Management
Volunteer Committee (Volunteer trainings, social events, recruitment, talks, etc) p
Fundraising Committee (Fundraising Catalogues, events (Annual Ball, Quiz Nights, etc.), Grants) p
Client Committee (facilitating Client intake interviews, client resources) p
Researching Grants and/or Writing Grant Submission p
REFERENCES
Please provide the name & contact details of at least 2 people who are prepared to act as referees in support of your application, these people must not be relatives & must be prepared to comment on your suitability to be a volunteer for Puddle Jumpers Inc (eg teacher, family friend, co-worker, former and/or current employer).
Referee 1
Name: ______Relationship to applicant: ______
Phone: (H) ______(W) ______(M) ______
Email: ______
Referee 2
Name: ______Relationship to applicant: ______
Phone: (H) ______(W) ______(M) ______
Email: ______
Referee 3
Name: ______Relationship to applicant: ______
Phone: (H) ______(W) ______(M) ______
Email: ______
APPLICATION DECLARATION
I declare that: The information I have provided is correct & understand that said information will remain confidential & assessed only by those involved in the selection of volunteers.
It is my belief that I would be an appropriate & competent person to fulfil various roles at Puddle Jumpers I will conduct myself at all times in a manner becoming of a positive role model & in such a way that ensures I am able to provide the highest standard of care for the children, young people and families with whom I will be working.
I acknowledge the requirements of attending child protection & behaviour management training, induction and orientation, pre-camp, post-camp evaluation, and any other training Puddle Jumpers sees as necessary & commit to fulfilling these requirements. I understand that my application to be a volunteer for Puddle Jumpers is subject to attending an interview, satisfactory police clearance, and satisfactory reference checks.
I have no physical and/or medical illness that may possibly affect my ability to perform roles within Puddle Jumpers, or place other volunteers and/or children in danger.
Signed: ______Date: ______
If under 18 years of age:
I (parent/guardian, please print)______give permission for my child (child’s name) ______to participate as a volunteer for Puddle Jumpers.
Signed: ______Date: ______
PLEASE RETURN THIS COMPLETED FORM (together with copies of certificates, driver’s license) TO:
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Puddle Jumpers Incorporated – Volunteer Application Form
Puddle Jumpers Incorporated
Att Melanie Tate
Chief Executive Officer
52 Pleasant Ave Glandore
Ph 08 7071 5270
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