Name of Applicant: Your Name (required) Address: Street (required) Suburb (required) Postcode (required) Phone: Home (required) Mobile (required) Your Email (required) Emergency Contact: Name (required) Contact Number(s) (required) Volunteering Questions What interests you about volunteering at Encircle? Have you volunteered before? (please provide details) Do you have any relevant qualifications and/or experience? Have you ever been a client of Encircle? If yes, please let us know which service: Are there any medical issues/special needs that may impact on your volunteer involvement? What days and times are you available? Other questions: Do you have a current blue card? yesno If yes, please upload a copy below. If no, please complete a blue card application form. (Please note that a blue card is required for most volunteer roles at Encircle.) Upload Blue card: Do you consent to a police check if required? (Please note, some programs require a police check) yesno Do you consent to the use of photos or video yourself for promotional purposes? yesno Please provide contact information for two character/work referees: Referee One: Name (required) Contact Number(s) (required) Email (required) Referee Two: Name (required) Contact Number(s)(required) Email (required) Resume: Please uploaded a current resume: Appropriate training will be provided at no cost to you, and, depending on the volunteer program, in return, we will require some commitment from you with regard to the length of time for which you volunteer.