Volunteer Application Form Volunteer Application Form Personal DetailsName First Last AddressPostcodeDate of Birth Date Format: MM slash DD slash YYYY OccupationContact NumbersPhoneMobileFaxEmailWhy do you want to volunteer at ICLA?Please list any previous experiencePlease list any relevant skills and qualificationsIn the event of an emergency please nominate a contact person.NameRelationship to youContact NoHave you been involved with ICLA before?YesNoIn what capacity?Please indicate which areas you are interested in volunteering in Recreation activities with residents Workshops & lifestyle activities (i.e. art / music therapy) Domestic Activities - Indoors Domestic Activities - Outdoors Administration / Office Work Events Fundraising Teaching Do you have a current driver's license?YesNoWhat type of car insurance do you have?Third partyFull ComprehensiveYou will be reimbursed for petrol / travelDo you have any medical conditions that ICLA should be aware of?YesNoPlease specify medical conditionsHow much time do you have available for volunteer work?WeeklyFortnightlyMonthlyEmergencyTime AvailabilityMonday Starting TimeFinishing TimeCommentsTuesday Starting TimeFinishing TimeCommentsWednesday Starting TimeFinishing TimeCommentsThursday Starting TimeFinishing TimeCommentsFriday Starting TimeFinishing TimeCommentsSaturday Starting TimeFinishing TimeCommentsSunday Starting TimeFinishing TimeCommentsHow did you hear volunteering at ICLA?Please give names and contact details of 2 refereesProof of IdentityProof of Identity At the interview with the Volunteer Manager you will be requested to produce identification documents to confirm your identity. Please see the attached Evidence Certificate form to ascertain which forms you must present at the interview.Mandatory Police Checks (can be completed later)All potential Volunteers must sign a National Criminal Record Check Consent to Obtain Personal Information Form. This can be completed at a later date. If you have however had a police check in the past 6 months please attach a copy if possible.Accepted file types: jpg, png, pdf.Allowed Formats: .jpg .png .pdfConfidentiality StatementAll potential volunteers must sign the Confidentiality Statement attached. ICLA will treat all information disclosed in this application as confidential.CAPTCHA
