2015 VOLUNTEER APPLICATION FORM

Name:
Mobile Phone:
Email:
Street Address:
Postal Address:
As above

AREAS OF INTEREST

Admin & Office Support (Hardware St)

Women’s Knitting Groups (Carlton, Frankston, and Ringwood)

VACRO Women’s Mentoring Program

Project work

Consumer feedback group (for people with lived experience of the criminal justice system)

Do you fluently speak any languages other than English? / Yes No
If so, what language(s)?
Do you have any circumstances or disability which may have an impact on your involvement with VACRO? / Yes No
If yes, please specify:
Do you hold a current Driver’s License? / Yes No
Do you own or have access to a vehicle? / Yes No

EMERGENCY CONTACT DETAILS

Name:
Relationship:
Phone:

REFEREES

Please provide contact details of two referees.

Please include at least one professional referee- from employment, studies, or volunteering roles.

Referee 1: Professional Referee
Name:
Role & Relationship to applicant:
Phone number:
Referee 2: Professional or Personal Referee
Name:
Role & Relationship to applicant:
Phone number:

EMPLOYMENT STATUS

Please select as many as apply:

Employed

Student

Home Duties

Retired

Unemployed

If you are currently employed can we contact you at work? Yes No

Are you available for interviews and training during business hours? Yes No

How did you find out about volunteering opportunities at VACRO?

EXPERIENCE & PERSONAL QUALITIES

Why are you interested in becoming a volunteer at VACRO?
What personal qualities and / or experience do you have to offer the program?
Please list any previous volunteer work you may have done:
Do you have any connections, either professional or personal, with the Criminal Justice System? Yes No
If Yes please provide further details:

DECLARATION

I agree to a police check and working with children check.

If accepted, I am able to commit to 12 months.

I agree to participate in training and to attend ongoing supervision.

Click here to enter a date.
Full name of applicant / Date

Please send the completed application along with your resume to

or Volunteer Coordinator, VACRO, P.O. Box 14093, Melbourne VIC 8001.

Page 3 of 3

Date modified: 11/2/2015 2015 Volunteer Application Form (electronic) Version 1.0 Contact officer: VACRO Volunteer Coordinator GA