Volunteer Application Form Title * Mr Mrs Miss Ms First name * Surname * Street Address * Suburb/City * State * NSW ACT QLD VIC SA TAS WA NT Postal Code * Phone Number * Mobile Phone Number Email Address Date of birth * What do you like doing in your spare time, what are you good at of what do you enjoy? * Why do you want to volunteer? * How did you hear about the volunteering opportunities at Adventist Senior Living? * What is your understanding of teamwork? * What is your understanding of the term 'confidentiality'? * What is your understanding of the role of volunteers in organisations and how do you see yourself fulfilling this role? * What days and hours are you available? * Where would you like to volunteer? (please select all that apply) * Residential Care Cafe/Kitchen Independent Living Villas Other What sort of work are you interested in doing? (please select all that apply) * Transport to appointments (use own car, reimbursed for fuel) Transport to appointments (use organisations van, must have class C license) Bus Driver (Must have license for mini-bus (LR)) Assisting at meal times (feeding residents, menu selections, assisting with morning and afternoon teas, delivering food etc) Craft Hand care for residents Activities assistant Sewing, mending and ironing Assisting with outings Shopping for/with residents Providing or assisting with entertainment Social visits for residents (talking, reading, writing letters etc) Going for walks with residents Assisting with residents from non-english speaking backgrounds Spiritual - bible reading, taking worships, assisting the chaplain Maintenance and Gardening Cafe assistant Administration/Office work Other Please describe any experience you have in your particular area of interest. * Do you suffer from or have any disability or medical condition which may affect your ability to do the job? * Yes No If you selected yes for the last question please give details of your medical condition/disability * List two people who would be prepared to act as your referees. (Include their Full name, Phone number/mobile and your relationship to them) * Do you give consent for Adventist Senior Living to publish your name and photograph in a monthly newsletter? * Yes No Can you confirm that the information contained in this application is correct to the best of your knowledge * Yes reCAPTCHA If you are human, leave this field blank.
