2022 Volunteer Application Form

Whitehorse Churches Care

Volunteer Registration Form
Thank you for your willingness to volunteer your time and skills, we look forward to working alongside you in the coming weeks/months.

We are very excited about the opportunities to engage with and serve our local community.

The Community Space at Forest Hill Chase provides a mix of drop-in type activities and structured groups. Additionally the space hosts the Whitehorse Community Support Register - a partnership with the police to connect with seniors in the community.

This form asks you for email addresses of two character references. If you would like to contact your referees before including their details below, you may like to go and do that before filling in this form, otherwise entered data may be lost if the form 'times-out' (the form doesn't save data as you go, unfortunately).
Personal Details
Name*

First NameLast Name
Gender*
Address*

Street Address

Street Address Line 2

SuburbState

Postcode
18 - 24 years old25 - 44 years old45 - 64 years old65 -79 years old80+
Phone Number (for a mobile, enter 0 in the area code and full number in the phone number section)*

Area codePhone Number
Volunteer Information
E-mail*
YesNo
How did you hear about Whitehorse Churches Care (WCC)?
What excites/interests you particularly about volunteering with WCC?*

0/200
Current Occupation (if applicable):
Do you have any qualifications that might be particularly helpful to WCC?
If you attend a church, please name:
Do you speak any languages other than English? If yes, please specify:
Yes - with CPRYes - first aid onlyCPR onlyNo
YesNo - but am interested in obtaining it (WCC may have subsidised options available)No
Do you have any medical conditions that we should be aware of?
Availability

As the roles evolve we will have more detailed information about shifts and shift times. Completing the questions below helps us to see what options we might have. Feel free to add comments.
Drop in spaceGroup facilitationAssisting with set up/pack upCommunity Support Register (Phone calls to seniors)Coordination of Support RegisterAdministration assistance"Pastoral Presence"Other

Availability (we anticipate starting Mon-Fri, but if there is significant interest, weekends may be feasible as well)

Rows	Morning 8.45am - 12pm	Midday 12-2.30pm	Afternoon 2.30-5.30pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Any comments?
Integrity Checks
YesNoI would like more information - please contact me
Working With Children Check (WWCC)
While you may not be working with children, this is a compulsory requirement for all volunteers.

If you have a current WWCC, please complete the details below. In addition, please go to http://www.workingwithchildren.vic.gov.au/ and update your details by adding Whitehorse Churches Care, PO Box 213, Kerrimuir 3129 as an associated organisation (Ph 0481 337 958).

If you do not have a current WWCC, instructions will be provided in an email upon submission of this application.
Reference Check Number
Expiry date

DayMonthYear
YesNo
References

Please provide two people to respond to a series of questions regarding your suitability for this role. These should be people who know you well (not family members) - perhaps an employer, pastor, leader of a community group etc.
By providing reference details below, I give permission for the references to be automatically contacted (initially via email) and asked to complete an online form.
Referee Name (one)

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
Referee Name (two)

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
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 Whitehorse Churches Care 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 Whitehorse Churches Care's 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:

Whitehorse Churches Care

Personal Details

Volunteer Information

Availability

Integrity Checks

Working With Children Check (WWCC)

References

Emergency Contact

Declaration