<p> 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</p><p>VOLUNTEER APPLICATION FORM</p><p>Name:______Preferred Name: ______</p><p>Gender:______Date of Birth: ______</p><p>Phone Number: (Hm) ______(Wk)______(Mob) ______</p><p>Address: ______</p><p>______Postcode: ______</p><p>Email Address (please print clearly)______</p><p>Were you born in a country other than Australia? Yes / No If yes, which country & what age did you come to Australia? ______</p><p>Do you speak any language other than English? Yes / No If yes which language/s ______</p><p>Why would you like to volunteer at the Australian Refugee Association Inc. (ARA)?</p><p>______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.)</p><p>______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)? ______</p><p>What do you expect to receive when volunteering at ARA? ______Which day/s and times are you available (please tick):</p><p>Weekday Weekend Day Evening Day Evening</p><p>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.</p><p>Social Support Program ( Employment Team</p><p>Homework Clubs Administration / Reception</p><p>Youth Projects Mentoring for Young People</p><p>Help Desk A Donation Centre </p><p>Mentoring – Community Leaders </p><p>Do you have any disabilities or medical conditions that may affect your work at ARA? Yes / No If yes, please describe: ______</p><p>Have you previously applied for a volunteer position with ARA? Yes / No If yes, were you successful?</p><p>______Would you like to be on ARA’s email list? Yes / No</p><p>How did you hear about ARA’s volunteer opportunities?</p><p>______</p><p>Referees Please provide the names of two referees, one professional/volunteer-related and one personal.</p><p>Professional/Volunteer:</p><p>Name: ______Contact: ______</p><p>Relationship to you / position: ______</p><p>Personal (not family member):</p><p>Name: ______Contact: ______</p><p>Relationship to you: ______</p><p>Emergency Contact</p><p>Name: ______Relationship to you: ______</p><p>Contact Numbers: (Hm) ______(Wk) ______(Mob) ______</p><p>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.</p><p>Declaration</p><p> 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. </p><p>Signed ______Date ______Thank you for your interest in volunteering with the Australian Refugee Association.</p>