Jordan Cafe Volunteer Form
Community Care Space | Newtown Mission
Today's date
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Day
-
Month
Year
Date
Where did you hear about us
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Through your school
Through your college
Through your workplace
Through social media
Google/search engine
Walking past
Other
Personal Details
Name
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First Name
Last Name
Do you have an email address?
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Yes
No
Your email
*
example@example.com
Your phone number (write NA if you do not have one)
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Do you have a home address?
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Yes
No
Your Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Date of Birth
*
-
Day
-
Month
Year
Date
Do you have any health issues that could impact on your volunteering?
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Yes
No
Please provide a brief description of these health issues
*
Have you been charged with a criminal offence?
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Yes
No
What was the nature of the offence?
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What was the outcome of that charge(s)?
*
Volunteer Type
Volunteer Type
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Please Select
Current volunteer
Jordan Cafe patron
Interested
University College
School Student
Corporate
Other
Which school are you volunteering with?
*
Which corporate group are you volunteering with?
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Name of the person who is organising your group.
*
Which university college are you volunteering with?
*
If you wrote other, please write what other type of volunteer you are
*
Checks
Do you have a Working with Children Check (WWCC).
*
Yes
No
Please provide your Working with Children Check number
*
Do you have a criminal history check? If not, please apply for one here: https://www.service.nsw.gov.au/transaction/apply-national-police-check
*
Yes
No
Please upload your criminal history check here
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Emergency Contact
Emergency contact name
*
First Name
Last Name
Emergency contact relationship to you
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Emergency contact phone number
*
Emergency contact email
Referee
Referee Name
*
First Name
Last Name
Referee phone number
*
General Availability
What is your general/usual/desired availability?
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Tuesday mornings
Tuesday afternoons
Wednesday mornings
Wednesday lunchtimes
Wednesday afternoons
Thursday mornings
Thursday afternoons
Thursday evenings
Friday mornings
Friday lunchtimes
Friday afternoons
Additional Details
Your general interests
Tell us a bit about you and why you'd like to volunteer at the Jordan Cafe
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What are your volunteer interests for the Jordan Cafe
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Helping out in the kitchen
Serving food
Connecting chatting with people
Sorting donations
Supporting people with job applications, computer skills etc
Administration
Christmas day
Don't mind
Other
Do you have any specific skills, interests or qualifications you would like to share with us?
Add a photo of yourself if you'd like to :)
Volunteer Code of Conduct and Procedures
Please read and then sign and agree to our volunteer code of conduct
I have read and agree to comply by the Volunteer Code of conduct and understand if I do not I might be asked to stop volunteering at the Cafe.
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I agree
Signature
Please read and make sure you understand our basic volunteer procedures
I have read and understand our basic Volunteer Procedures.
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I agree
Submission
Submit
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