Volunteer Application
Volunteer application
I understand that inductions need to be booked via Facebook bookings, calling the shelter on 08 8947 1272, or replying to the confirmation email that you will receive when you submit this form.
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Please Select
Yes
No
Have you had your COVID vaccinations?
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Please Select
First Dose
Second Dose
Booster Dose
Not Vaccinated
Name - First
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Are you and Individual or Organisation?
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Please fill out Organisations name in First and Last name field.
Please Select
Individual/Couple
Organisation
Name - Last
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Responsible Person for Organisations
Residential Address
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Suburb
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State
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Postcode
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Phone Number
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Facebook Profile
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Email Address (non NT Gov or NT Schools email addresses please)(Please check spam folder as you will get an automatic email once you submit this form and future emails may also go there)
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Date of Birth
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Minimum age for volunteers is 16 years. Volunteers under 18 years of age must be accompanied by a parent, carer or supervisor who is also a registered volunteer.
I am over 16 Years old
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If you are not over 16 years of age please do not continue. Unfortunately we cannot accept volunteers under 16 for liability reasons. If you are under 18 we also require you to be accompanied by a parent, carer or supervisor who is also a registered volunteer. However many young men and women help by raising money, blanket, food and toy drives. We would love your help. You do not have to fill out this application to contribute in other ways.
I am under 16 but applying as part of a school run work placement program
I am between 16 years & 18 years old and will be accompanied by an adult
I am over 16 years old
Driver's License #.
Emergency contact name
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Relationship to applicant
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Emergency contact number
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Areas of Interest
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Please select all areas you are interested in volunteering
Shelter Administration
Animal Management
Photography Dog Training
Advertising/Social Media
Fundraising
Community Engagement Events
Vet Services
Dog Walking
How many hours are you willing to commit to as a volunteer?
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Your preferred day?
Please explain what you hope to contibute as a volunteer?
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Please explain what you hope to gain through you experience volunteering?
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Please list any relevant animal care/volunteer experience.
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Are you volunteering as part of a employment program?
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No
Yes
Are you volunteering to fulfill a court ordered community service program?
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No
Yes
Have you ever been investigated for offences relating to the neglect or cruelty to animals by a statutory authority?
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Please note this wont necessarily prevent you from volunteering with us
No
Yes
If yes please specify
Please note this wont necessarily prevent you from volunteering with us
Have you ever been convicted of a crime (other than minor traffic offences)?
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Please note this wont necessarily prevent you from volunteering with us
No
Yes
If yes please specify
Please note that this may not prevent you from volunteering with us
Are you a prohibited person under the Commission for Children and Young People Act 1998
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No
Yes
Are you willing to undergo a police check and provide a Working with Children authority?
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No
Yes
Do you have health insurance?
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You will not be covered by workcover as you are not an employee
No
Yes
Is your tetanus vaccination up to date?
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This is required if you are volunteering in animal handling
No
Yes
Do you suffer from any allergies or medical conditions that may affect your volunteering work with us?
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This information will help us to avoid rostering you on inappropriate tasks and to take responsible action to assist you should you become unwell while volunteering for us.
No
Yes
If yes please specify
I understand that from time to time photos may be taken of me and I give my permission for these to be used in marketing
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No
Yes
I understand that any tasks I undertake are in a voluntary capacity and no employment relationship exists between myself & Paws Darwin. I will not be remunerated by Paws for my services
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No
Yes
I understand that I will be subject to the supervision of paid staff and/or supervising volunteers. I agree to abide by and work within the guidelines of Paws Darwin
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No
Yes
I understand that in my capacity as a volunteer I may come into contact with confidential and/or comercial in confidence information. I will protect this information and not divulge or misuse it.
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No
Yes
As a volunteer I will treat everyone with respect,share my ideas and energy and honour the organisations aims and commitments.
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No
Yes
I understand that Paws Darwin have a right to decline my volunteering application or cease their relationship with me as a volunteer at any time.
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No
Yes
I declare that the satements and declarations made by me in this form are true and complete and acknowledge and agree to Paws Darwin Volunteer Conditions & Responsibility
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Please read the document on our website
No
Yes
Signature of Applicant. Please use your finger on touch screen or click and hold your left button to use your mouse above the line.
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Please sign on screen or click and hold your left button to use your mouse.
Clear
Date
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