Volunteer registration

To register as a potential volunteer with us, please fill in the form below. Fields marked with * are required.

Given name: *
Family name: *
Email: *
I have no email address
Street: *
Suburb:
City: *
Postcode: *
Phone (Day):
Phone (Night):
Cell phone:
Preferred method of contact:
Phone
Email
Post
Gender:
Country of birth:
Ethnicity:
Age band:
10-14
15-19
20-29
30-39
40-49
50-59
60 & over
Heard of Volunteer Resource Center from:
Agency Referral e.g. CABChurch
Family memberFriend
Government Dept e.g. ACC, WINZLocal Paper
Notice BoardsPamphlet/Poster
RadioSchool
Volunteering New Plymouth PromotionVolunteering New Plymouth Website/Facebook Page
Other:
If you heard from school, which school? *
Other school: *
Would you like to receive our E-Newsletter?:
Yes
No
Labour force status:
Full-time employed
Part-time employed
Self employed
Retired
Not in paid employment by choice
Seeking employment
Student
Student seeking employment
Student/part-time employed
Visitor
Other (please specify):
Are you registered with WINZ?:
Yes
No
WINZ - Work and Income New Zealand
Are you on an income-tested benefit?:
Yes
No
If you are a visitor to NZ which kind of Visa do you have?
Visa type:
Working
Student
Visitor
Expires on:
How much time do you have for volunteering?
Hours per week:
Preferred period:
AMPM
EveningsNo preferences
Are you also interested in one-off events?:
Yes
No
Don't mind
Are you also interested in short term projects?:
Yes
No
Don't mind
Preferred day(s):
MondayTuesday
WednesdayThursday
FridaySaturday
Sunday
How long are you available?:
eg 3,6,9 months/years
Transport:
Your own car available
Current NZ Drivers license
Public transport eg Bus, train, taxi
New Plymouth
Bell BlockInglewoodNew Plymouth
OakuraOkatoUrenui
Waitara
   Select all
Eltham
Eltham
   Select all
Stratford
Stratford
   Select all
Other
Work from home
   Select all
What kind of voluntary activity would you like to do?
Administration/General office-type roles
Roles:
AccountingAdministration
AnalysisBudgeting
Data collectionData Entry
Editing, reviewingFiling
Information TechnologyLibrarian
Newsletter collationReception
ReportingSecretary
TelephoneWord processing
Personal Contact Roles
Roles:
AdvocacyBefriending
Child careCoaching [sport]
CounsellingDriving
EntertainingFamily Support (e.g. refugees)
Financial CounsellingFirst Aider (trained)
Guiding/Leading groupsHealth support
Hospitality (front of house)Interviewing
MentoringReading / Writing
TutoringVisiting
Other General Duty Roles
Roles:
ArtsCommittee member/Trustee
Conservation workCooking
CoordinatingCustomer Service
DanceDriving
Event organisationEvent support
FundraisingGardening / planting
General MaintenanceHandy person
History (recording/research)Homecrafts
Hospitality supportInformation Gathering
Language InstructionMarketing
MediaMusic
Photography, visual mediaPromotion
PublicityRecycling
ResearchRetail
SalesShopping
SortingStreet collection
Writing
What type of community organisations would you prefer to volunteer? (Choose no more than 2):
Animal WelfareArts/Cultural/Heritage
Church/FaithConservation/Environment
Disability ServicesEducation
Emergency ServicesHealth Services
Information/AdviceIwi/Maori Services
Migrant/Refugee ServicesOlder People Services
Overseas AidPacific Island Services
Social Justice/LawSocial Services
Sports/RecreationYouth/Children Services
Particular goals that you wish to achieve through volunteering:
Community ContributionCourse/Study Requirement
Enhance EmployabilityGain new Skills/Knowledge
Help OthersMake a Difference
Meet People / New FriendsOutside Interest
Personal GrowthShare my Skills/Knowledge
To fulfil my dutyWork Experience
Other:
Are you interested in training?:
Yes
No
Qualifications and/or training courses achieved or currently studying? (please include overseas qualifications):
Do you have any particular skills, hobbies and/or talents that you wish to use in your voluntary activity?:
Do you have any health needs that should be given special consideration?:
Do you have any other information you wish to share with us to assist in your referral?:

PRIVACY ACT
Volunteering New Plymouth undertakes to collect, use and store the information provided on this form according to the principles of the Privacy Act 1993. The information will be used by Volunteering New Plymouth in discussing my referral with the community organisation, also for the community organisation to discuss my referral with the Volunteering New Plymouth as well as for statistical, funding and administrative purposes within Volunteering New Plymouth. I understand that final acceptance, orientation, training and placement will be the responsibility of the community organisation to which I am referred as a volunteer.