Volunteer Form

1

Name* This field is required.

First Name

Last Name

2

Date of Birth* This field is required.

Date

3

Gender

4

Email* This field is required. (this is our main contact for you)

example@example.com

5

Phone Number* This field is required.

Area Code

Phone Number

6

Current Status in New Zealand* This field is required.

Citizen

Resident

Visitor

Other

8

Start Date* This field is required.

Date

11

Reasons for Volunteering at Wingspan

12

Previous Volunteering Experience

13

Strengths and Skills

14

Court Convictions* This field is required.

YESNO

15

Medical ConditionsPast or present, that may affect your work in this role

16

Emergency Contact* This field is required.Name, phone number, relationship to you

17

Referees* This field is required.Nominate two people (other than close friends and family) whom you authorise to be contacted and act as references. Provide phone numbers.