CERES Volunteer Request

CERES Volunteer Request

Please fill out all relevant fields. A red * indicates a required field.
Personal Information and Contact Details
Full Name

First NameLast Name
Preferred name/nickname
E-mail
Address

Address Line 1

Address Line 2

Suburb/CityState

PostcodeCountry
Phone Number

Area CodeNumber
Date of Birth

DayMonthYear
Medical Disclosure & Emergency Contact Details
(Note: All personal information provided here is ONLY used in the event of an emergency, not for any other purpose)
Are you currently in therapy, undergoing medical treatment or recovering from any medical or psychological issue that could impact on the type or amount of volunteer work you could undertake at CERES?
If yes, please provide further information
You have indicated you have a health related issue that may impact your volunteering.

We find that we engage a very broad range of people with an equally broad range of health related challenges that may impact their work as a volunteer. For this reason, we have two important questions we would like you to answer which will assist us in supporting you:
Are you currently under the care of a case worker?
If yes, can you please provide their contact details.
Are you capable of working under limited supervision (eg. You understand, remember and can repeat a basic task after you have been shown and without constant prompting)?
Could your current condition affect your ability to work harmoniously within a medium sized team of volunteers reflecting people from diverse backgrounds?
Please provide details of at least one (preferably two) emergency contact below:
Primary emergency contact

First NameLast Name
Primary Number

Area CodeNumber
Secondary Number

Area CodeNumber
Alternative Number

Area CodeNumber
Relationship
Secondary emergency contact

First NameLast Name
Primary Number

Area CodeNumber
Secondary Number

Area CodeNumber
Alternative Number

Area CodeNumber
Relationship
Main Questions
Please select the role(s) you are applying for (NOTE this is NOT a preference list - you must be applying for the role(s) you select):
Off-site role(s) not located at Stewart St Brunswick:
Please confirm you have read the relevant position description for each role(s) you are applying for
What do you hope to get out of volunteering for yourself
What do you think you will bring to, or contribute to the teams working in the area of your interest?
Are you available on the days and times stated in the volunteer position description for each role you are applying for?
Additional Information
Can you commit to remaining available for the number of weeks or months stated in the relevant volunteer position description for each role you are applying for?
Additional Information
Feel free to upload any additional, supporting information, e.g. your resume

Upload a File

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Special Note: You have requested a volunteering role with an organisation which is a ‘friend or neighbour’ to CERES or is otherwise likely to be away from CERES Community Environment Park in Brunswick. With 'friends and neighbour' oganisations, insurance and supervision is the responsibility of the friend or neighbour organisation. Please make sure you have read the position description and are aware of the work location and the organisation your volunteering will be with.
The information provided in this application is true and accurate in relation to my current circumstances
Should be Empty:

CERES Volunteer Request

Personal Information and Contact Details

Medical Disclosure & Emergency Contact Details

Main Questions