Paradox City Care (PCC) Volunteer Application

PARADOX CITY CARE VOLUNTEER APPLICATION

First Name

First

Last Name

Last

Preferred Name To Be Called

Date of Birth

Gender:

Male

Female

Address:

Suburb

Postcode

Mobile

Emergency Contact Name:

First

Last

Emergency Contact Number:

Do you have any present medical conditions or history that may affect you performing your volunteer duties? (Please keep us updated if this changes)

Are you currently taking any medication which could impact your ability to drive or operate heavy machinery? (Please keep us updated if this changes)

Please share any previous volunteer or professional experience you have that may be helpful to your role with PCC:

Are there any interests you have that may be helpful for us in placing you in a suitable role within PCC?

Volunteer Availability

Weekly

Fortnightly

Monthly

OtherOther

Please describe what days you are available

Are you currently part of a Church community? (Please note that this is not a requirement for volunteering with us)

Yes

If 'yes', what is the name of your Church?

Please upload a current profile photo of yourself for your file:

Maximum upload size: 516MB