2020 Volunteer Registration Form

Clothe A School Child outreach-Africa

CASCO-AFRICA Volunteer Form
Thank you for your willingness to volunteer your time and skills. This project has the potential to make a real difference to the lives of vulnerable out of school children and has the long-term goal of global recognition.

Our goal is to reach out to rural areas mostly affected by insecurity and economic hardship inview to supporting children actualize their full potential. We endeavour to ensure the safety of all volunteers, staff and guests.Please answer the following questions to ascertain your suitability to proceed with volunteering.
Are you:*

Over 70Over 60 with an ongoing chronic illnessOver 50 and indigenousNone of the above
Please read the following statements carefully: I hereby accept the full terms and conditions to be a volunteer of this non governmental organization in a view to rendering my support to humanity.

I will work with and cooperate with the heirachy of the organization and staffs so as to meet the require Target and mandate.
I agree with and declare that the four statements above are true, and will abide by them:

YesNo
We appreciate your desire to volunteer. At this time, however, we are advised that it is unsafe to accept your application. We will add your name to our mailing list so that you can stay up to date with our activities and look for other ways to get involved. If we still have a need for volunteers when restrictions are amended, we will make our needs known.
Have you volunteered with Stable One before? *
Have you already completed a registration form for 2020?*
Personal Details
Name*

PrefixFirst NameLast Name
Sex*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Age*

18 - 24 years old25 - 44 years old45 - 64 years old64 +
Phone Number*

Area CodePhone Number
E-mail*
Volunteer Information
How did you hear about the project?
Current Occupation:
Qualifications:
Please enter any post-secondary qualifications
Relevant skills*
Please list any relevant skills or experience. Mention ways you may be able to assist or encourage guests training/upskilling etc) .
In brief, please explain why you would like to volunteer for the clotheaschoolchildoutreach Project?*

0/200
Role/s you can fill*

Peer EducatorNo preferenceCareer guideProcurementSupervisor
Do you have a child/adult rapport*

YesNo
Do you hold a current first aid certificate? *

Yes - with CPRYes - first aid onlyCPR onlyNo
What level is your certificate?
Please list any medical conditions we should be aware of...
If you attend a church, please name:
Integrity Checks
I consent to undergo integrity checks as listed below*

YesNoI would like more information - please contact me
Working With Children Check (WWCC)
Please confirm that your WWCC is current for this year's project by entering the details below.
Although it is likely you will be working with children at the shelter, this is a compulsory requirement for all volunteers.
References
Referee Name*

First NameLast Name
Referee Phone Number*

Area CodePhone Number
Referee E-mail*
Referee type:*
Your referee must not be an immediate family member
If other, please specify
How long have you had this relationship?*
Years
Training and Availability
You will be required to complete an online training course before volunteering commences.
Please indicate how often you would like to be rostered. Ideally your commitment would be weekly or fortnightly to help simplify the roster. Note any dates unavailable. *
Emergency Contact
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship to you:
Declaration
I have reviewed and completed this form as applicable to me. I give CASCO-AFRICA permission to verify any information I have provided. This authorisation shall continue to be effective until revoked by me. A copy of this consent shall be as effective as the original. By my initials below, I declare that all information on this form is true and accurate. I consent to my information being stored and used in accordance with CASCO-AFRICA privacy policy
My initials here signify that I agree to the terms above:*
Now that you've completed the form & you're about to press 'Submit' (hooray!), please monitor your email inbox for instructions about the next step (you may need to check the junk folder). While we are busy processing your information, we would be grateful if you could go ahead and follow the specific instructions in the confirmation email.
Should be Empty:

Clothe A School Child outreach-Africa

Personal Details

Volunteer Information

Integrity Checks

Working With Children Check (WWCC)

References

Training and Availability

Emergency Contact

Declaration