Volunteer Application Form

Personal Information

Title

Mr
Mrs
Ms

Name *

First

Last

Organisation / School

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Email *

Home Phone

Mobile Phone

Do you have a valid driver licence?

Yes
No

Please upload a copy of your driver licence

Click or drag a file to this area to upload.

Security Declaration

Have you ever been convicted by a court or dismissed from employment for an offence involving assault, drugs, theft or dishonesty?

Yes
No

Please provide details

Do you have any court cases pending?

Yes
No

Please provide details

Do you have a current Working With Children Check?

Yes
No

Must be within 5 years of issue

File Upload

Click or drag a file to this area to upload.

Please upload a copy of your Working with Children Check

Family Information

Emergency Contact

First

Last

Contact Number

Medical Information

Do you have any allergies, health conditions, medical treatments or disabilities that we may need to know?

Yes
No

Including general health, transmittable illness, mental and muscular/skeletal

Please provide details

Do you have any condition that may be aggravated by lifting items up to 15kg in weight?

Yes
No

Please provide details

Availability

Please select your availablity

Comments

Preferences

How would you like to volunteer?

Kitchen
Hall
Delivery
Any/All Areas

What is your preferred Kitchen Roll?

What is your preferred Hall Roll?

Cleaning & setting tables
Packing bags
Packing hampers
Any/All

What is your preferred Delivery Roll?

Labelling bags
Packing bags
Serving the homeless in the city
Any/All

Acknowledgement & Authorisation

By submitting this form, you certify that all the information provided is true and agree to permit St. Merkorious Charity Association Inc to undertake a background ckeck that may include verifying the details provided. You also agree that your image will be used for a name badge.

Personal Information

Security Declaration

Family Information

Medical Information

Availability

Preferences

Acknowledgement & Authorisation

About Us

Visit Us

Call Us: 0478 760 450

Acknowledgement of Country

Links

Our Services & Programs