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
First Name
Surname
Date of birth
Email address
Street Address
Suburb
State
Postcode
Mobile Number
Phone number
Name of school attending
Year at school
Emergency contact name
Emergency contact number
Relationship of emergency contact
Volunteering Experience
Have you any previous volunteering experience?
Please select...
Yes
No
If 'Yes', please describe
Have you previously volunteered at Montefiore?
Please select...
Yes
No
If 'Yes', please describe
Medical History
Any allergies
Any other conditions we should be aware of
Availability
Availability
Monday (pm)
Tuesday (pm)
Wednesday (pm)
Thursday (pm)
Friday (pm)
Saturday (am)
Sunday (pm)
Preferred facility to work in
Please select...
Hunters Hill
Randwick
Woollahra
Maroubra Shores
Multiple choice, press Ctrl to select
Skills/Areas of Interest
Bingo Caller
Chatting to residents
Games - cards, scrabble, quizzes, rummy tiles, etc
Language Groups - Russian, French, Yiddish, Hebrew, etc
Music - singing, playing instruments, etc
Personal Friendship
Reading to Residents
Shabbat on wheels
Synagogue assistance - Shabbat, Chagim, etc
Ushering
Walking Program
Other (area of interest)
Why have you chosen the above areas of interest?
Reason for volunteering
Please select...
Help others
Learn new skills
Meet people
Explore opportunities
multiple choice, press Ctrl to select
Community involvement hours (school)
Commitment
Please select...
6 months
1 year
Ongoing
Please print and ask your parent to sign the
volunteer guide and photo permission form
. Bring this to the interview.
Please read the
code of conduct
before submitting the form.
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.
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Contact Information