Please complete the Volunteer Appointment Form

Volunteer Appointment Form

WASEMA Inc welcomes you as a Volunteer.

Please complete the form below.

WASEMA Inc ADHERES TO VOLUNTEER RIGHTS AND THE; NATIONAL STANDARDS FOR VOLUNTEER INVOLVEMENT

First Name *

Last Name *

Street Address *

City

State/Province

ZIP / Postal Code

Country

Email Address *

Phone Number *

Date of Birth *

Languages spoken *

Volunteer Position *

Do you have your own transport ? *YesNo

Do you have access to reliable internet ? *YesNo

Emergency Contact Details

Please complete the emergency contact details

Name *

Phone *

Email Address *

Relationship *0 / 3

Ambulance Cover *YesNoIn the case of emergency an ambulance will be called for and associated expenses are the responsibility of the individual volunteer. All volunteers are encouraged to have an ambulance subscription.

Medical Conditions *

REFEREES

Please provide two Referees for character references.

Name *

Position (relationship to you) *

Phone *

Name *

Position (relationship to you) *

Phone *

Compliance Documents (Please tick all those you hold) *

Working With ChildrenPolice CheckPhoto identificationDo not hold any of the above

If you have a Working With Children Check please upload it here

No file chosen

If you have a current police check, please upload it here

No file chosen

If you have photo Identification, please upload it here

No file chosen

Please upload your RESUME/CV and any relevant qualifications /certificates. *

No file chosen

Permission to Use Photographs and Video *YesNoDo you grant permission for WASEMA Inc to use, reproduce and communicate (in hardcopy or electronic format) any photographs, audio and/or video recordings taken of you for the use in WASEMA Inc promotional and marketing material, reporting to stakeholders and use on WASEMA Inc social media channels, acknowledging that this may result in public disclosure of my image.

Consents *

I consent to being sent feedback Surveys in future regarding WASEMA events and activities to help improve the work we doI consent to WASEMA's Constitution, policies, terms and conditions including our privacy policyI have read and agree to the Volunteer Contract, Pre-Health Check and Volunteer Induction Manual

Links

Constitution, Terms and Conditions, Privacy Policy

Signature *