Jordan Cafe Volunteer Form

Jordan Cafe Volunteer Form

Community Care Space | Newtown Mission
Today's date

DayMonthYear
Date
Where did you hear about us*

Through your schoolThrough your collegeThrough your workplaceThrough social mediaGoogle/search engineWalking pastOther
Personal Details
Name*

First NameLast Name
Do you have an email address?*

YesNo
Your email*
example@example.com
Your phone number (write NA if you do not have one)*
Do you have a home address?*

YesNo
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you under 18?*

YesNo
All volunteers under 18 must be supervised at all times by a responsible adult personally known to them while volunteering at the Jordan Café - Newtown Mission. The Jordan Café does not provide supervision, the parent/guardian must ensure an approved adult is present for the entire shift
Your Date of Birth*

DayMonthYear
Date
Do you have any health issues that could impact on your volunteering?*

YesNo
Please provide a brief description of these health issues*
Have you been charged with a criminal offence?*

YesNo
What was the nature of the offence?*
What was the outcome of that charge(s)?*

Checks
Do you have a Working with Children Check (WWCC).*

YesNo
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*

YesNo
Please upload your criminal history check here*

Cancelof

Additional Details
Your general interests
Tell us a bit about you and why you'd like to volunteer at the Jordan Cafe*
What are your volunteer interests for the Jordan Cafe*

Helping out in the kitchenServing foodConnecting chatting with peopleSorting donationsSupporting people with job applications, computer skills etcAdministrationChristmas dayDon't mindOther
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.*

I agree
Signature

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Please read and make sure you understand our basic volunteer procedures
I have read and understand the Jordan Cafes basic Volunteer Procedures.*

I agree

Parent/Guardian
Please fill the section below if the volunteer is under 18 years of age.
I, First Name* Last Name* (parent/guardian name), give permission for my child/young person, First Name* Last Name* (name of volunteer under 18), to participate as a volunteer at the Jordan Café – Newtown Mission. They will be supervised by Supervisor First Name (parent/guardian/other) Supervisor Last Name (parent/guardian/other)
I understand and agree to the following:
- Volunteers under the age of 18 must be supervised at all times by a responsible adult known to them (e.g., parent, guardian, youth leader, or another approved adult).
- It is my responsibility to ensure that such an adult supervisor is present for the entire duration of the volunteer shift.
- I acknowledge that the Jordan Café and Newtown Mission are not responsible for providing constant supervision for volunteers under 18.
- I confirm that my child/young person is willing and able to participate in volunteer activities and that I consent to their involvement.
Name of parent/guardian*

First NameLast Name
Signature of parent/guardian*

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Personal Details