Bus Trips volunteer application form

BUS TRIPS VOLUNTEER APPLICATION FORM

For further information or questions regarding this form, please contact Council via 9911 6555.

Applicant Details

Surname *

First Name *

Address *

Postcode *

Mailing address: *

Mailing postcode: *

Phone (h):

Phone (w):

Phone (m): *

Email *

Place of birth *

Date of birth *

Gender *

MaleFemale

When are you avaliable? *

Tuesday FridayWeeklyFortnightly

Previous experience

Please outline your qualifications, previous employment and or voluntary experience: *

References

Reference Full Name (1) *

Reference contact number (1) *

Reference Name (2) *

Reference contact number (2) *

Emergency contacts

Emergency contact full name (1): *

Emergency contact phone (1): *

Emergency contact full name (2): *

Emergency contact phone (2): *

Declaration

I do not have any physical conditions that could affect my work for City of Canada Bay Seniors Bus Trips. I have read, understood and signed the Safe Work methods Statements. I agree to attend all compulsory induction/WH&S workshops and participate in other Volunteer training seminars as required.

Applicant Signature *

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Date signed *

Rams - Community

(For Internal Use Only)