Volunteer Application Form

First names

Surname

Address

Post code

Daytime phone

Cellphone

Email

Date of Birth

Indicate which of our services you are interested in supporting, and which roles.

Services

PSEC

Enliven

Family Works

Real People

Preferred locations

Napier

Taradale

Havelock North

Hastings

Gisborne

Roles

Other

Please let us know how much time you'd be prepared to give

Frequency

Weekly

Fortnightly

Monthly

Other

Hours per session

1 to 2

3 to 4

4 to 6

more than 6

Morning

Afternoon

Evening

Days

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Why are you interested in volunteering with PSEC?

What experience or skills can you bring to the organisation?

Upload your CV (optional)

Do you have any medical conditions or physical limitations that may affect your work as a volunteer, or may affect your safety and that of your colleagues?

Do you have any criminal convictions, or are you awaiting the hearing of any charges in a court of law?

No

Yes

If yes, please give details

Do you consent to a full Police check?

Yes

No

Please provide a referee we can contact to establish your suitability for volunteering

Name

Relationship with you

Daytime phone

Cellphone

Our clients and families involved with Presbyterian Support East Coast are accorded confidentiality. As a volunteer with this organisation I agree to respect and maintain this trust.

I agree to my name and phone number being used with Presbyterian Support East Coast. The personal information contained in this form will be held by and remain confidential to Presbyterian Support East Coast.

Under the Privacy Act 1993, you have the right (with certain exceptions) to request access to, and correction of, any personal information held by us.

I declare that all the information provided by me in support of my application is correct.

I acknowledge that if I have provided incorrect or misleading information, or have omitted information of significance I may be disqualified from becoming a Volunteer, or if appointed, be liable to be dismissed.

Signed

Date

Indicate which of our services you are interested in supporting, and which roles.

Please let us know how much time you'd be prepared to give

Please provide a referee we can contact to establish your suitability for volunteering

Useful Links

Contact Us