Australian Refugee Association

Australian Refugee Association 304 Henley Beach Rd, UNDERDALE SA 5032 Tel. (08) 8354 2951, Fax. (08) 8354 2953 Email: [email protected] Website. www.australianrefugee.org

VOLUNTEER APPLICATION FORM

Name:______Preferred Name: ______

Gender:______Date of Birth: ______

Phone Number: (Hm) ______(Wk)______(Mob) ______

Address: ______

______Postcode: ______

Email Address (please print clearly)______

Were you born in a country other than Australia? Yes / No If yes, which country & what age did you come to Australia? ______

Do you speak any language other than English? Yes / No If yes which language/s ______

Why would you like to volunteer at the Australian Refugee Association Inc. (ARA)?

______Please indicate your current employment status: employed, not employed, studying, retired, etc. If employed or studying, please give details (e.g. role, place of work, etc.)

______Which skills or experience do you have that might be relevant to your volunteer work at ARA (i.e. through employment, education, hobbies or personal skills)? ______

What do you expect to receive when volunteering at ARA? ______Which day/s and times are you available (please tick):

Weekday Weekend Day Evening Day Evening

In which area would you like to volunteer at ARA?  please read descriptor flier for info on each program found at www.australianrefugee.net  If you are interested in getting involved in more than one area, please write 1, 2, 3 in order of choice.

Social Support Program ( Employment Team

Homework Clubs Administration / Reception

Youth Projects Mentoring for Young People

Help Desk A Donation Centre

Mentoring – Community Leaders

Do you have any disabilities or medical conditions that may affect your work at ARA? Yes / No If yes, please describe: ______

Have you previously applied for a volunteer position with ARA? Yes / No If yes, were you successful?

______Would you like to be on ARA’s email list? Yes / No

How did you hear about ARA’s volunteer opportunities?

______

Referees Please provide the names of two referees, one professional/volunteer-related and one personal.

Professional/Volunteer:

Name: ______Contact: ______

Relationship to you / position: ______

Personal (not family member):

Name: ______Contact: ______

Relationship to you: ______

Emergency Contact

Name: ______Relationship to you: ______

Contact Numbers: (Hm) ______(Wk) ______(Mob) ______

Please note: Opportunities to play a particular role as a volunteer are not always available. Our need for volunteers varies according to the numbers of refugees moving to South Australia and funding allocated to the different programs.

Declaration

 I agree to maintain client confidentiality.  I agree to work within the Rights and Responsibilities of ARA Volunteers as per the ARA Policies and Procedures. These may be presented during your Volunteer Induction.  I agree that the information included in this Volunteer Application Form is true and correct.

Signed ______Date ______Thank you for your interest in volunteering with the Australian Refugee Association.