Volunteer Registration form

Join Us in Making a Difference

Volunteer Today by Filling the Form below

Te Puna Waiora is always looking for dedicated volunteers to join our team and assist those in need.

By offering your time and skills, you can make a positive impact in the lives of individuals and families facing challenges.

Join us today and be part of a community that is committed to promoting well-being and providing support to those who need it most. Visit our website for more information on how you can get involved..

PERSONAL INFORMATION

First Name

Last Name

Date of Birth

Gender

Phone

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Email Address

EMERGENCY CONTACT INFORMATION

First Name

Last Name

Phone

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Relationship

VOLUNTEER INTERESTS

Area of Interest

Preferred Volunteer Roles

Availability (days & times)

SKILLS and EXPERIENCE

Area of Interest

Previous Volunteer Experience

Professional Background if any

REFERENCES

First Name

Last Name

Relationship

Contact Information

BACKGROUND CHECK & POLICE VETTING

VETTING PROCESS: Our vetting process ensures the safety and integrity of our volunteer program. This includes: + Background check: We conduct thorough background checks to verify the identity and history of all volunteers. + Police Vetting: We perform police vetting to ensure volunteers have no disqualifying criminal records. + Confidentiality: All information collected during the vetting process is strictly confidential and used solely for volunteer screening purposes. PRIVACY POLICY: We are committed to protecting your privacy. Your personal information will be: + Securely Stored: Kept in secure databases with restricted access. + Confidential: Only accessible to authorized personnel involved in the vetting process. + Used Responsibly: Utilised exclusively for the purpose of managing and verifying volunteer applications. We do not share your information with third parties without your explicit consent.

HEALTH INFORMATION

Any Medical Conditions

Allergies

Special requirements

ADDITIONAL INFORMATION

How did you hear about us ?

Additional Comments or Questions

DECLARATION and CONSENT

DISCLOSURE STATEMENT: By submitting this form, you consent to the collection and use of your personal information for the purposes of volunteer management, including background checks and police vetting. Your information will be kept confidential and will only be accessible to authorized personnel. WAIVER STATEMENT: I acknowledge that volunteering may involve physical activity and certain risks. I hereby release and discharge Te Puna Waiora, its officers, employees, and agents from any and all liability for personal injury, property damage, or wrongful death that may occur during my participation in volunteer activities. TERMS and CONDITIONS: By registering as a volunteer, you agree to adhere to the following terms and conditions: + Follow all instructions and guidelines provided by Te Puna Waiora + Respect the privacy and confidentiality of all individuals you encounter. + Report any concerns or incidents to a supervisor immediately. + Commit to the agreed-upon schedule and notify in advance if you are unable to attend. + Failure to comply with these terms may result in the termination of your volunteer position. WORKPLACE RULES: + Maintain a professional and respectful demeanor at all times. + Follow all safety protocols and procedures.

I agree to the Disclosure, Waiver, Terms & Conditions and Workplace Rules above