Volunteer Application Form Thank you for your interest in volunteering with us! "*" indicates required fields Step 1 of 2 50% Contact DetailsFull Name* First Last Preferred Name Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Mobile Phone*Home PhoneEmail* Preferred contact Mobile Home Phone Email Personal Information Volunteers are accepted from age 12 years (ONLY at Adoption Days and other events) provided a parent/guardian accompanies them at all times and has co-signed the Volunteer AGREEMENT. Volunteers must be over 18 years to volunteer independently. Volunteers over 85 years should be aware that they are not covered by NRAS insurance. Date of Birth DD slash MM slash YYYY Gender Male Female Other Prefer not to say To drive the NRAS van a copy of your Driver Licence to be provided and volunteers must be: Over 25 years old. Have a minimum of 2 year’s driving experience Must advise any driving offences that could jeopardise NRAS’s insurance or increase its excess in the event of an accident. Drivers License Number Drivers License StateNSWQLDVICACTSANTWATASNSW Working with Children Check Number (if applicable) Centrelink CRN Hours you need to fulfil per week for Centrelink (If applicable)Health Conditions / Allergies*Diabetes (Insulin) / Epipen, etc.Upload Health Plan (If applicable) Drop files here or Select files Max. file size: 128 MB. Convicted of any Offence*Animal Cruelty / Other. If any, provide date and offence.Tetanus VaccinationNRAS will not be liable for any health or damages because of non-vaccination Yes No Skills & InterestsPlease outline below the skills and abilities you would bring to NRAS as a volunteer. Include any special skills and qualifications acquired from employment, previous volunteer work, or through other activities, including hobbies or sports that could be applied to assist with NRAS projects. Eg. writing submissions, social media, retail, management, marketing, etc.Please indicate only the areas that interest you.* Admin/Office Gardening Driving /Deliveries Maintenance Events Retail Fostering Shelter Other Other* AvailabilityWhat days / hours are you available to volunteer?*Weekend availability for NRAS could be to work at the Op Shop (Saturday), assist with Adoption Days (Saturday), other events or working with animals that are housed at the shelter, (eg. feeding, walking, cleaning).Days of the weekHours Add RemoveHave you been involved with Northern Rivers Animal Services or another volunteer group previously?* Yes No Organisation/s name* Training OpportunitiesIf NRAS was to offer additional training opportunities, WHAT skills (relevant to volunteering at NRAS) would you be interested in*eg. Dog Training, Pet First Aid, Bottle feeding.Emergency ContactEmergency Contact Name Relationship Contact NumberVolunteer Agreement & Signature I hereby apply for volunteer work with the Northern Rivers Animal Services. I agree to work in accordance with the position description and the organisation’s guidelines. I agree to maintain confidentiality. I understand that Northern Rivers Animals Services may change or cancel any part of its volunteer program or agreement with volunteers, as it sees fit and therefore may no longer require my services. Name* First Last Parent / GuardianIf applicant is under 18 years First Last HiddenDate* DD slash MM slash YYYY I have been advised that OVER 85 years old I am not covered by NRAS’ insurance YesSignatureHiddenDate DD slash MM slash YYYY Membership SubscriptionAn annual Membership Subscription of $2.00 assists us to maintain our “Charitable Status” with the ACNC (Australian Charities and Not-for-Profit Commission) and gives you the opportunity to vote at the Annual General Meeting or Extraordinary General Meeting on activities requiring Member consent and/or Nominate for a Committee position.Do you wish to become a Member? YesThank you for your application. Your personal information will be kept in confidence.
