BECOME A VOLUNTEER TODAY VOLUNTEER APPLICATION FORM Volunteer Salutation --None--Mr. Ms. Mrs. Dr. Prof. Mx. First Name* Last Name* Preferred Name* Date of Birth* Phone* example: 0400111333 Email* Address Street* City* State/Province* Zip* Postal Address Same as above Postal Street* Postal Suburb* Postal State* Postal Zipcode* Emergency contact Emergency First Name* Emergency Last Name Emergency Relationship* Emergency Phone* About You Why do you want to volunteer at Treasure Boxes?* Do you have any volunteering experience?* --None-- Yes No Please tell us a little more about your experience* What volunteer role/s interest you? (Hold down the Ctrl key to select multiple roles) General warehouse volunteer Welcoming team Home sorter Jack and Jills Donation drop-off location Administration Op shop Event What is your employment status?* --None--Full-time Part-time Self-employed Stay-at-home parent Student Unemployed/looking for work Other if selected other, please write your employment status Are you volunteering to meet any requirements?* For study, work rehabilitation, Services Australia or other requirements. --None--Yes No Please detail any requirements you may have.* Availability What days and times would you like to volunteer?* We may extend/adjust opening hours and volunteer sessions depending on availability. 10am - 2pm Monday 10am - 2pm Tuesday 5pm - 8pm Wednesday 10am - 2pm Thursday 10am - 2pm Friday 10am – 2pm Saturday (Op shop only) DUTY OF CARE Treasure Boxes has a duty of care to protect your health and safety while you are a volunteer. Your answer to the following question will help both of us meet our needs. Do you have a disability, medical condition, injury or take any medication that may affect your role as a volunteer?* --None--Yes No Please provide some more detail. You may also speak privately with the Volunteer Coordinator in your first meeting. SECURITY All Treasure Boxes volunteers must have a current Working With Children Check and National Police Check. If you do not have these, Treasure Boxes can start the application process for you. These are provided to volunteers free of charge. Do you have a current National Police Check?* --None--Yes No Reference number* Release date* Name on National Police Check If different to the name you are applying to volunteer with. First Middle Last All volunteers must have a current National Police Check. You will receive a separate email from Treasure Boxes with instructions on how to apply. Do you have a current Working With Children Check?* --None--Yes No Reference No* Expiry Date:* Name on Working With Children Check If different to the name you are applying to volunteer with. First Middle Last Do you consent to Treasure Boxes starting an application for you?** Consenting to Treasure Boxes starting an application on your behalf means we will use the personal information you have provided in this application form to commence the process of applying for a Working with Children Check. --None-- Yes No You will receive an email with more information from the Department of Human Services, on behalf of Treasure Boxes. All Treasure Boxes volunteers must have a current Working With Children Check. If you do not hold or agree to apply for one, unfortunately you may not volunteer with us. Thank you for your interest.