Adoption Centre Roles-Volunteer Application Please note that we have a minimum age of 16 years old for our volunteer roles. Date * Name - First * Name - Last * Preferred Name (If Applicable) Address * Suburb/City * Post Code Phone * Alternative Phone Email * Date of Birth * Gender (for stats only) Male Female Gender Diverse Preferred Pronouns: (If Applicable) Are you a Student looking for placement hours? NoYes If yes, what educational institution are you studying with? Please provide details of the course you are studying How many placement hours do you require? What volunteer position are you applying for? * Choose one or more Customer Service FOH Shelter Assistant Events Grounds and Maintenance Are you able to commit to 1 shift per fortnight for a minimum of 6 months? * NoYes If you answered No, please explain What day(s) are you available for shifts? * Choose one or more Monday Tuesday Wednesday Thursday Friday Saturday Sunday What shift(s) are you available for? * Choose one or more 7.30am-10am 10am-12.30pm 1pm-5pm Do you have reliable transport to get to your shift? (we are not on a bus route) NoYes Do you have a current drivers licence? * NoYes What Class licence do you hold? (see reverse of your drivers licence) Do you hold a current First Aiders certificate? NoYes Please provide details of animal care/study, volunteer experience or experience relevant to volunteering at Dogwatch: We need all sorts of help with our vehicles, buildings, grounds, projects etc. Please let us know if you have any other skills you could utilise to assist us. Please explain what you hope to gain through your experience volunteering? Do you have any medical conditions we need to be aware of? * NoYes If you answered yes, please provide details. Are there any other conditions that could be aggravated by a volunteer role at Dogwatch or working with our dogs? Please provide details. Do you have a criminal conviction in the last 10 years? * NoYes Are you willing to undergo a background check, if required? * NoYes If you have a dog(s) at home, are they desexed? Are your pets vaccinations up to date? NoYes Are your pets wormed and flea'd? NoYes How did you hear about Dogwatch? * Website Facebook Friends or Family Other If "Other" please give details DECLARATION I declare that to the best of my knowledge all information provided in this application is accurate. I understand that if any false or misleading information is given, or any material fact withheld, I will not be engaged, or if I'm engaged, my volunteer role will be terminated. * Choose one Yes No I understand that in completing this application I am not guaranteed to be selected to be a volunteer, that Dogwatch reserves the right to refuse any application, with or without reason. * Choose one Yes No Privacy Statement: I understand and agree that this information is being collected by Dogwatch Sanctuary Trust ("Dogwatch") to assess my suitability to become a volunteer; that this information will only be used in relation to this application and will be kept confidential; that the information within this application will not be made available to any third party without my permission. * Choose one Yes No This information has been collected by Dogwatch for the purpose of communicating with you in relation to your application to volunteer for our organisation. Do you give permission for Dogwatch to include you on its email mailing list and to send you correspondence about (but not limited to) promotions, fundraisers and events? * Choose one Yes No
