VOLUNTEER REGISTRATION

Personal information provided is CONFIDENTIAL to Volunteer Wellington. It is used to find you jobs and for statistical purposes.

Family Name Date
Given Name(s) Day phone
Address Evening Phone
  Mobile Phone
Suburb Fax
City Email
Age, gender, labour force status and ethnicity are all for statistical purposes only by Volunteer Wellington.
Age Group Labour force status Ethnic Identity Heard of Volunteer Wellington from
Under 20 years Part-time paid Employment Pakeha/NZ European Word of Mouth
20-24 years Full-time paid employment NZ Maori Pamphlet/Poster
25-29 years Retired Other(please state) Newspaper/Radio/TV
30-39 years Seeking paid work   Speaker
40-49 years Unpaid labour force   WINZ
50-59 years Registered with WINZ English is not my first language Other
60 years and over Student    
Present Occupation____________ Gender..Male___Female___
The goals do you wish to achieve through voluntary work (Please choose two)
Gain new skills/knowledge Meet people Help others
Contribute to the community Discover new interests Get work experience
Enhance employment potential Achieve personal growth Explore new fields of work
Expand business network    
Training or courses you have done
 
 
 
Educational qualifications
 
 
 
 
 
 
 		 Please tick as many as apply
Have driver's licence
Have own transport
Willing to use own transport on job
Prefer to work mornings
Prefer to work afternoons
Prefer to work evenings
Am available to work weekdays
Am available to work weekends
___Number of hours I can work per week
 
Preferred location
Wellington
Hutt Valley
Porirua
Any location
I authorise Volunteer Wellington to keep electronic and hard-copy records of my information.
 
Volunteer's Signature_________________________________		 Community organisations working with
sensative information may wish to carry out
a police check on their volunteers.