Student Volunteer Application Form

Please complete the form below and press the submit button. The Volunteer Manager/Coordinator will contact you to arrange a meeting once it has been received. If you have any questions while completing the form please contact Hazel Stein, Volunteer Manager on 02 8345 9154 or Jane Silverman, Volunteer Coordinator on 02 9879 2743


PERSONAL DETAILS

Preferred facility to work in*required

EMERGENCY CONTACT DETAILS

VOLUNTEERING EXPERIENCE

VOLUNTEERING AVAILABILITY

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MEDICAL HISTORY

Preferred areas you would prefer to work in, if space available

I want to volunteer at Montefiore Home to

PRIVACY STATEMENT

The Home is governed by a Privacy Policy that supports the privacy and confidentiality of all personal information collected by the Home, subject to the Home’s need to perform its activities and legal obligations. A copy of the Home’s Privacy Policy is available upon request.

Mandatory field(s) marked with *