Volunteer Application Form

Volunteer Application Form

We thank you for your interest in volunteering and supporting our organisation's cause. For information on our current vacancies, please visit www.rangecare.com.au or call (07) 5445 7044. Please fill out the application form below to express your interest in a volunteer role at RangeCare. The information collected is used to process your application and will be kept confidential. All applications are subject to the availability of roles and an interview with our Volunteer Coordinator. We will be in touch with you soon.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Alternative Number
Email*
example@example.com
Date of birth*

MonthDayYear
Date
Emergency contact name*
Emergency contact phone number*

It is a requirement that you provide the names and contact details of a referee (not a family member). Please advise your referee that they may be contacted. Note we will only contact a referee after you have met with our Volunteer Coordinator.
Name of Referee

First NameLast Name
Relationship to you
Phone number
Email
example@example.com
As an NDIS provider, volunteers are required to undergo a background check through applying for a Disability Worker Screening. There is no cost involved for volunteers and nformation about this will be provided to you at your interview.
Declaration

I declare that all information in this application form is correct. I understand that my personal details will be kept on file and that the organisation may be required to share information about me for statutory purposes. By signing this form I agree to abide by the Code of Conduct and all policies and procedures that may be applicable to the role of a volunteer. I agree to undertake a Disability Worker Screening Check and can provide a traffic offence history if required.
Name

First NameLast Name
Date

MonthDayYear
Date
Please verify that you are human*

Volunteer work