Volunteer Agreement Form

Selby Community House welcomes you as a volunteer.

Please complete the form below to join as a volunteer.

First Name *

Surname

Street Address *

City

State/Province

ZIP / Postal Code

Country

Email Address *

Phone Number *

Date of Birth *

Volunteer Position *

Documents Required for volunteer roles ( Please tick those you have)

Photo IdentificationWorking With ChildrenFirst Aid and CPR (not essential - however if you have this, please advise)Resume/CV (not essential, however if you wish to provide this please do so)

Volunteer Role - Police Check requirement

**Please note - Once we receive your volunteer agreement form, we will apply for a police check for you. You will receive further paperwork regarding this.

Photo Identification - e.g Drivers Licence, Passport (must have your correct name) *

No file chosen

Current Working With Children (this is required prior to starting in a volunteer role) *

No file chosen

First Aid/CPR Certificate (Recommended) - Please upload if you hold a First Aid/CPR certificate

No file chosen

Current Resume/CV - with 2 current references

No file chosen

Permission to use photo's and video's of you as part of your volunteer role *

YesNo

Please review our policies documents prior to signing your agreement

Policy Documents

Constitution, Strategic Plan, Volunteer Policy

Code of Conduct, Privacy Policy, Conflict of Interest

Consents (To be a volunteer you are required to consent to all the below requirements) *

I consent to Selby Community House's Volunteer Policy, Constitution and Terms and ConditionsI consent to Selby Community House Code of ConductI will advise Selby Community House of any conflict of interest I may have in my role as a volunteerI will advise Selby Community House of any pre-existing medical conditions which may require support, accessibility or may impact my role as a volunteer

Signature *