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1 Register To Volunteer with Weave Do you want to become a volunteer? Complete the below volunteer registration form and we will you to arrange an interview. * Please complete all of the fields marked with an asterisk. Specific volunteering opportunity Personal information Given name* Family name* Address* Suburb* Post code* Phone (day)* Mobile * Date of birth Day: Month: Year: Gender Ethnicity Female Male How would you consider your background? Are you: Australian Aboriginal and/or Torres Strait Islander Other English speaking background Non-English speaking background What is your level of spoken English? Learning Intermediate Advanced

2 What is your level of written English? Learning Intermediate Advanced What languages, other than English, do you speak? Communication from Weave Youth Family Community I would like to receive s from Weave Youth Family Community and subscribe to The Centre's newsletter. Yes No Volunteering, work and lifestyle Work status Employed (full time) Employed (part time) Self employed Retired Working in the home School Student University Student Student Workplace Program Traveller Unemployed (under 6 months) Unemployed (over 6 months) Not in workforce Do you receive Centrelink benefits? Yes No What type of volunteer job are you looking for? On-going (1+ year commitment) Short-term (3-6 months) Special event (1-2 day commitment) How did you hear about us? Websites, search engines or e-newsletters Centrelink Friend or family member Job network provider / health professional Newspapers Other What is your motivation for wanting to volunteer? Community involvement Gain local Australian working experience Uni / TAFE Placement Program Student or School Community Service Acquire or maintain skills Change of direction Improve confidence Meet new people Personal satisfaction

3 Practice speaking English Rehabilitation Help others Give back to the community What are your areas of interest? (Please underline the areas you are interested in. For example: accounting Acting / performing arts / drama advocacy aged animal archives artistic design and coordination arts audio call centre/ ) Area of Interest 1 accounting Acting / performing arts / drama advocacy aged animal archives artistic design and display driving editing emergency environment food and drink service food preparation fundraiser Area of Interest 2 accounting acting / performing arts / drama advocacy aged animal archives artistic design and display driving editing emergency environment food and drink service food preparation fundraiser Area of Interest 3 accounting acting / performing arts / drama advocacy aged animal archives artistic design and

4 display driving editing emergency environment food and drink service food preparation fundraiser Your preferred work location? What is your availability to volunteer? Availability Best Day/s Weekday Weekend Weekday evening All Monday Tuesday Wednesday Thursday Friday Saturday Sunday Best Time/s (For example, 3pm 6pm) Max Hours Min Hours Health Do you have any health issues that may affect the type of volunteering work you do? Please let us know if you have any special access requirements or aids to assist you with a volunteer placement: Other Information Please enter any comments or further information you feel we need to know.

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