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Volunteering at the Library, Museum & Gallery

All fields marked with * are mandatory

Personal Details

Title:*

Mr
Ms
Miss
Mrs
Dr
Other

Family Name*:

Given Name*:

Address*:

Mobile*:

Home phone*:

Email*:

Legal Status:

Citizen
Resident
Holiday Visa
Refugee
Work Visa
Other

Other Legal Status:

What Skills do you have?:

Administration/clerical
Arts/crafts
Customer Service
Data entry / typing
Keyboard skills
Reception
Retail / shop assistant

Other Skills:

What type of volunteer work would you like to do?:*

Administration/clerical
Arts/crafts
Children 0-5
Children – school age 5-12
Customer service
Data entry / typing
IT / Computer
Music / Theatre
Reception
Retail / shop assistant
Teacher / tutor
Any

Volunteering Information

Reason for volunteering*:

Please tick if you wish to complete any of the following programs:

Duke of Edinburgh
Premiers Volunteering Program
Yr 10 Work Experience
Tertiary Study Placement
Other

Other Program:

For Duke Of Edinburgh and Premiers Volunteering Program please select a time:

4.00 – 5.00pm
5.30 – 6.30pm

Are you interested completing your volunteering at:

Hurstville Library
Penshurst Branch Library
Museum / Gallery
Any

Preferred hours (Monday):

9.30–1.00pm
1.00–5.00pm
5.30-9.00pm

Preferred hours (Tuesday):

9.30–1.00pm
1.00–5.00pm
5.30-9.00pm

Preferred hours (Wednesday):

9.30–1.00pm
1.00–5.00pm
5.30-9.00pm

Preferred hours (Thursday):

9.30–1.00pm
1.00–5.00pm
5.30-9.00pm

Preferred hours (Friday):

9.30–1.00pm
1.00–5.00pm
5.30-9.00pm

Preferred hours (Saturday):

10.00–1.00pm
1.00–4.30pm

Preferred hours (Sunday):

2.30–3.30pm

Starting date:

Finishing date:

Is there anything that would limit the type of volunteer work you can do?:

If so, please state

Referring agency (school, college etc):

Contact person:

Telephone:

Emergency contact details

Name of emergency contact person*:

Their relationship to you*:

Emergency contact phone number*:

Emergency contact address*:

Allergies:

Medications:

Any other relevant medical information staff need to be aware of:

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* Mandatory fields

Your name:*

Your email:*

Your friend's name:*

Your friend's email:*

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