Scribd
Upload
33 views2 pages

Volunteer Expression of Interest Form

Uploaded by

wildunit1981
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
33 views2 pages

Volunteer Expression of Interest Form

Uploaded by

wildunit1981
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Volunteering at Mildura Rural City Council -

Expression of Interest Form


Mildura Rural City Council requires the following information from all volunteers for public
liability and personal accident insurance purposes.

Full Name:
Address:
Postcode:
Phone Number: Mobile:
Email:

Emergency
Contact:
Phone Number: Mobile:

What area at Mildura Rural City Council would you like to volunteer in?
(Please number 1-8 in order of preference)

Library Mildura Arts Centre


Mildura Visitor Information
Other*:
Centre
Mildura Events
*If you would like assistance with referral to another area of Council please ask.

Please list the days and times you are available to volunteer.

Monday Tuesday Wednesday Thursday Friday Saturday Sunday


AM
PM

Do you hold any of the following?


• Current Car Drivers’ licence Y/N Date sited: ______________
• Current Bus / Truck licence Y/N Date sited: ______________
• Current Police check Y/N Date sited: ______________
• Current Working with Children Check Y/N Date sited: ______________
• Hygiene for Food Handler’s Certificate Y/N Date sited: ______________
• Level 2 First Aid Certificate Y/N Date sited: ______________
• Responsible Serving Alcohol Y/N Date sited: ______________

Please list any skills that may be of interest to your nominated volunteer unit.
Please register to Records Manager file 03/05/07
Version 4 – June 2016
o I consent to my personal details being on a database for the Mildura Rural City Council’s volunteer
units.
o I understand that my details will not be given to other parties outside the Mildura Rural City Council.

Volunteer’s Signature:
Date:
Privacy Notification:
Mildura Rural City Council collects Personal and or Health Information for municipal purposes as specified in
the Local Government Act 2020. The information collected in this form is for the purposes of placing you as a
volunteer in Mildura Rural City Council. Your information will be in a volunteer database in order for Council to
contact you either by phone or in writing outlining volunteer opportunities that arise. Your personal information
is not for third parties. Council may not be able to place you as a volunteer if sufficient information is not given.
Should you require more information on Council’s Privacy Policy please contact Council’s Privacy Officer.

Volunteer Expression of Interest Forms should be submitted in one of the following ways:
Deliver in person to: Mail to: Email to:
Mildura Rural City Council Mildura Rural City Council [email protected]
108 – 116 Madden Avenue PO Box 105
MILDURA MILDURA VIC 3502

Please register to Records Manager file 03/05/07


Version 4 – June 2016

You might also like