Les Twentyman Foundation Volunteer Expression of Interest Form

Address *

Mobile (ONE phone number must be provided)
Phone Number (ONE phone number must be provided)
Email
example@example.com
Date of Birth *

Day Month Year
Date of Birth
Country of Birth
Preferred Contact *
Working with Children Check *

Yes No
Working with Children Check Type

Employee Volunteer
WWCC Card Number *
WWCC Expiry *

Day Month Year
Date
Current Drivers' Licence (or Learner's Permit for ID purposes) *

Yes No
Licence Type *
Licence or Permit Number *
Licence Expiry *

Day Month Year
Date
Do you consent to a Police Check? *

Yes No
MEDICAL CONDITIONS | Do you have any medical conditions or disability that could impact on your ability to undertake certain tasks? If so, please detail:
Type of role/s preferred: *

Administration Back To School Program Homework and Tutoring Events and Marketing Sporting Program (Redskins Basketball) Youth Programs Mail outs Ad hoc/Christmas/sorting

Which days are you available to volunteer? *

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY

8AM to 11AM

11AM to 2PM

2PM to 5PM

5PM & later

Please highlight the skills, knowledge and/or experience you can bring to this role: *
How did you hear about the Les Twentyman Foundation? *
Explain your motivation to volunteer for the Les Twentyman Foundation: *
On your phone or tablet, please sign with your finger or stylus:

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Upload your resume (required): *
Date signed: *

Day Month Year
Date
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