Volunteer Registration Form
Thank you for volunteering for Hospice West Auckland's Trees of Remembrance! Please fill out your details and select your preferred shift times. If you can no longer attend a shift please lets us know as soon as possible by emailing trees_of_remembrance@hwa.org.nz or calling 09 834 9752.
Contact details
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
Suburb
City
Postal / Zip Code
Emergency contact name:
*
Emergency contact phone number:
*
Personal details
Collecting personal data helps us ensure that our volunteer program is truly inclusive by understanding the diversity of the people who want to contribute.
Have you volunteered with Hospice West Auckland before?
*
Yes
No
Date of birth:
*
-
Day
-
Month
Year
Date
Ethnicity:
*
Please Select
NZ European
Māori
European
Asian
Pacific peoples
Middle Eastern, Latin American or African
Other
Do you have any medical conditions or disabilities that may affect your volunteer work?
*
Yes
No
If yes, please give details:
Have you ever been convicted of a criminal offence or are awaiting charges in a court of law?
*
Yes
No
If yes, please give details:
Book your shifts
You can select shifts at more than one location and there is no limit to the number of shifts you can sign up to.
Please select your preferred location:
Please Select
Mitre 10 Lincoln Rd
PAK'n SAVE Alderman Dr
New World Kumeū
Mitre 10 Westgate
New World New Lynn
Bunnings New Lynn
Mitre 10 Lincoln Rd: Please select your preferred shift(s)
PAK'n SAVE Alderman Dr: Please select your preferred shift(s)
New World Kumeū : Please select your preferred shift(s)
Mitre 10 Westgate: Please select your preferred shift(s)
New World New Lynn: Please select your preferred shift(s)
Bunnings New Lynn: Please select your preferred shift(s)
We endeavor to make sure all shifts are covered by two volunteers. Please indicate how comfortable you are with doing the shift alone so we can prioritise accordingly:
N/A - I am booking with a companion
I am comfortable working on my own
I would prefer to work with someone
I am not comfortable working on my own - please find another volunteer
Submit
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