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Volunteer Application - Personal Details

* Denotes a mandatory question

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Title * Mandatory

Please specify: * Mandatory

First Name * Mandatory

Last Name * Mandatory

Preferred Name:

Date of Birth: * Mandatory

Acceptable Date Format (D D/M M M/Y Y Y Y)

Gender * Mandatory

Street Number and Name or PO Box: * Mandatory

Suburb / Town: * Mandatory

Postcode: * Mandatory

State * Mandatory

Please specify: * Mandatory

Preferred Contact Number: * Mandatory

Alternative contact number: * Mandatory

Email address * Mandatory

Please specify your preferred method of communication:

Do you have a current Drivers Licence: * Mandatory

Do you have a current Drivers Licence: Do you have a current Drivers Licence: * Mandatory , Yes
Do you have a current Drivers Licence: * Mandatory , No

Drivers Licence Number: * Mandatory

Expiry date: * Mandatory

Acceptable Date Format (D D/M M M/Y Y Y Y)

Do you have Comprehensive Motor Vehicle Insurance? * Mandatory

Comprehensive Insurer Name: * Mandatory

Comprehensive Insurance Policy Number:

* Mandatory

Comprehensive Insurance Policy Expiry Date: * Mandatory

How did you hear about this position? * Mandatory

Please specify:

Are you currently employed by Maroondah City Council? * Mandatory

Are you currently employed by Maroondah City Council? Are you currently employed by Maroondah City Council? * Mandatory , Yes
Are you currently employed by Maroondah City Council? * Mandatory , No

Please select your employment eligibility status for Australia: * Mandatory

Is English your first language? * Mandatory

Is English your first language? Is English your first language? * Mandatory , Yes
Is English your first language? * Mandatory , No

Please specify: * Mandatory

Please indicate the main reason you were attracted to the position with Council: * Mandatory

If other, please specify:

What do you hope to gain by Volunteering?

If other, please specify: * Mandatory

Preferred type of Volunteering:

If other, please specify: * Mandatory

Please list your current work days/hours AND the work days/hours you would be available:

	Days/Hours (Current)	Days/Hours (Available)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Education and Qualifications

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What is your highest achieved qualification? * Mandatory

Please attach a copy of your cover letter * Mandatory

file upload button

Upload your resume. * Mandatory

file upload button

Please attach a copy of your current Working with Children Check Photo ID Card (if applicable)

file upload button

Please attach a copy of your current National Police Record Check (if applicable)

file upload button

Please note files are limited to no more than 15MB.

Employment / Volunteering History

* Denotes a mandatory question

Are you currently employed or volunteering? * Mandatory

Are you currently employed or volunteering? Are you currently employed or volunteering? * Mandatory , Yes
Are you currently employed or volunteering? * Mandatory , No

Please provide details of your employment or volunteering history starting with your most recent:

	Name of Employer	Period of Employment/Volunteering	Position/Activity Title	Type of Employment
Most Recent
Second
Third

References

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Note: Maroondah City Council will not contact Referees unless authorised.

As part of the Council's recruitment process you may be required to provide details of two suitable referees.

Do you consent to providing suitable referee details upon request? * Mandatory

As part of the Council's recruitment process you may be required to provide details of two suitable referees. Do you consent to providing suitable referee details upon request? As part of the Council's recruitment process you may be required to provide details of two suitable referees.

Do you consent to providing suitable referee details upon request? * Mandatory , Yes
As part of the Council's recruitment process you may be required to provide details of two suitable referees.

Do you consent to providing suitable referee details upon request? * Mandatory , No

Referee 1 Name: * Mandatory

Referee 1 Title: * Mandatory

Referee 1 Company Name: * Mandatory

Working Relationship to Candidate: * Mandatory

Referee 1 Telephone: * Mandatory

Referee 1 Mobile:

Referee's 2 Name:

Referee 2 Title:

Referee 2 Company Name:

Working Relationship to Candidate:

Referee 2 Telephone:

Referee 2 Mobile:

Pre-commencement Checks

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As part of Maroondah City Council's recruitment process, you may be required to undertake a pre-commencement Police Check, Working with Children Check and/or psychometric test.Do you agree to undertake the relevant pre-commencement checks to assess your suitability to meet inherent job/activity requirements (if required)? As part of Maroondah City Council's recruitment process, you may be required to undertake a pre-commencement Police Check, Working with Children Check and/or psychometric test.

Do you agree to undertake the relevant pre-commencement checks to assess your suitability to meet inherent job/activity requirements (if required)? * Mandatory , Yes

Council is to be notified in writing of any pre-existing injury/illness that may be affected by the inherent requirements of this volunteering activity. Failure to disclose relevant information in regard to a pre-existing injury/illness that might be affected by the nature of the proposed volunteering activity could result in that injury/illness not being eligible for future compensation claims.

Is there anything Maroondah City Council needs to be aware of that would affect your ability to safely and durably perform the inherent requirements of the activity?

Medical Information

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Medical Information
Maroondah City Council has a duty of care to protect your health and/or safety while you are a volunteer. Your answers to the following questions will help meet our mutual needs.

Do you have an existing medical condition or injury? * Mandatory

How serious is the condition? * Mandatory

What actions, situations or triggers need to be avoided? * Mandatory

What is the emergency plan if a serious aggravation occurs (i.e. diabetes, asthma)? * Mandatory

Do you take any medication that may impact your ability to perform in your role (i.e. ability to drive, dizziness)?

If yes, please provide details: * Mandatory

Declaration

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By completing and submitting this form you:Acknowledge that Maroondah City Council will collect information (including personal information) about me for volunteering purposes, including consideration of my application.Consent to personal information being maintained for volunteering purposes in accordance with privacy laws.Consent to all of the information described above, including results of any testing, being disclosed for consideration in the application process.Agree that all information provided is true and accurate. Please note: providing false or misleading information may lead to the application being withdrawn by Maroondah City Council. By completing and submitting this form you:

Acknowledge that Maroondah City Council will collect information (including personal information) about me for volunteering purposes, including consideration of my application.

Consent to personal information being maintained for volunteering purposes in accordance with privacy laws.

Consent to all of the information described above, including results of any testing, being disclosed for consideration in the application process.

Agree that all information provided is true and accurate. Please note: providing false or misleading information may lead to the application being withdrawn by Maroondah City Council. , Yes

Please read each statement and checkbox to acknowledge acceptance of the terms and conditions of the application: * Mandatory

Are you aged under 18 years?

As the parent/guardian of the volunteer, I agree to their involvement as a volunteer with Maroondah City Council:

	Name	Date	Relationship to Volunteer
Guardian Details		(dd-mmm-yyyy) Acceptable Date Format (D D/M M M/Y Y Y Y)