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<p> AVAILABILITY FORM VOLUNTEER POSITION</p><p>Volunteer Position Details</p><p>Position: (select as appropriate) Volunteer Case Worker Volunteer Community Support Worker Volunteer Project Worker Volunteer Administration Officer Event Volunteer Volunteer Retail Assistant Organisation: DAA MHAA ACCS Date: Location(s): </p><p>Applicant Details Title First Name Middle Name(s) Surname</p><p>Preferred Name: Date of Birth: Home Ph.: ( ) Work Ph.: ( ) Mobile: Email: Preferred method of contact: Home Ph. Work Ph. Mobile Email Preferred time: Between : AM / PM and : AM / PM On Monday Tuesday Wednesday Thursday Friday</p><p>Are you volunteering in order to complete a required No Yes Placement (practicum) or Internship? If ‘Yes’ please provide details of required number of days per week below. NOTES: Available shifts and frequency of shifts will be dependent on the program you will be engaged in during your service as a volunteer. Please be aware you may not always get your first choice. Not all programs operate all days of the week – consult the website and/or the program staff for operating hours.</p><p>Availability (please indicate all days you are available) Day Mon Tues Wed Thurs Fri Sat Sun First (1st) Preference </p><p>Second (2nd) Preference </p><p>Third (3rd) Preference </p><p>Frequency of shifts? (tick one only) Weekly Fortnightly Monthly</p><p>Comments / Additional Information Please use the space provided to provide any extra detail that may be useful for program staff responsible for rostering volunteers.</p><p>Applicant Signature: Date:</p><p>Completed forms can be returned to the organisation by: QLD Fax: (07) 3392 9846 Mail: GPO Box 590 BRISBANE QLD 4001 NSW Fax: (02) 9755 0593 OR Mail: PO Box 1030 FAIRFIELD NSW 1860 OR Email: [email protected] SA Fax: (08) 8358 2921 Mail: PO Box 1 OAKLANDS PARK SA 5046</p><p>No.: HR-006/53 Issue:1 Date: 30.07.13 Page 1 of 1</p>
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