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CONTACT DETAILS
Title
First name	Family name
Address	Postcode
Phone (Business)	Phone (Home)
Phone (Mobile)	Email
Date of Birth
Languages spoken

EMERGENCY CONTACT DETAILS
Name	Phone

SUMMARY
Summary of skills, interests, previous training/education and experience (in any area)
What are you hoping to achieve through volunteering?
Are there skills you would like to develop in your role?
What has attracted you to volunteering with Villa Maria?
What could you bring to Villa Maria to help us better live out our values and vision?
Have you been a volunteer before? If so, where?
Are you hoping for this to be an ongoing role or for a specified period?
Where did you hear about Villa Maria?

It is important that all prospective volunteers attend an Information Session (see flier).
Please state date and venue of session you wish to attend
Are you applying for a specific vacancy?	Are you applying for a specific vacancy? :: e.g. Disability Support at Kew
Availability	Availability :: e.g. Monday, AM/PM, once a week, etc

Please SELECT area(s) of most interest to you, and please SELECT A NUMBER in dropdowns next to options you have chosen to indicate order of preference.
Supporting children with disabilities 0 – 6 years / 6-18 years
Please specify age preference
Supporting adults with disabilities
Community visiting and support of people in their home
Supporting the elderly
Please specify
Supporting carers in the community
Opportunity shops
Please specify
Pastoral care
Administrative IT/Support
Please specify	Please specify :: Please specify your current skills: Word, Excel, Access, Outlook, reception, filing, or other.
Music / Entertainment
Please specify
Transporting/Driving clients to outings or appointments
Please state if you hold endorsed licence
Gardening/outdoor projects
Fundraising
Kiosk at Bundoora
Art projects
Other
Please specify

Please nominate two referees (Not relatives. Please request referees' permission to be named)
Name	Name
Phone	Phone
Relationship	Relationship

Privacy of your personal information: The information that you provide to us on this form is collected by Villa Maria to facilitate the volunteer placement process within our organization. If you do not provide us with the information requested, we may not be able to place you as a volunteer. Your information will be held confidential and secure, and will not be disclosed to any other organization or agency without your consent. It may be disclosed to relevant departments within Villa Maria for your placement purposes only. You may gain access to the information we collect about you by contacting our Privacy Officer, Locked Bag 20, Kew 3101.

Language selection

Volunteer Application

CONTACT DETAILS

EMERGENCY CONTACT DETAILS

SUMMARY

It is important that all prospective volunteers attend an Information Session (see flier).

Please SELECT area(s) of most interest to you, and please SELECT A NUMBER in dropdowns next to options you have chosen to indicate order of preference.

Please nominate two referees (Not relatives. Please request referees' permission to be named)

I have reviewed Villa Maria’s values and goals and am willing to commit to these in my volunteering work. I agree to maintain confidentiality at all times.