Volunteer at SJ - Shore Junction

First Name

Last Name

Phone Number

Have you worked in a voluntary capacity before?

Yes No

Please give us some details on your voluntary history

What appeals to you about volunteering at Shore Junction?

What qualities or skills do you possess that you think will benefit Shore Junction?

What do you hope to gain by working for Shore Junction?

Have you had any criminal convictions within the last 10 years, or are you currently awaiting proceedings for any criminal offences?

Yes No

DECLARATION AND AUTHORISATION

I certify that all information that I have provided to you is true, accurate, and complete. I authorise you to contact my named referees to seek information from them that may be relevant to my application for voluntary service. I understand a police check will be required.