Volunteer interest registration - Twenty10 inc GLCS NSW

About you

Preferred name*

First Last

Full legal name

(If different from preferred name)

First Last

Personal pronoun/s at Twenty10/GLCS

Personal pronoun/s outside Twenty10/GLCS (if different)

Date of birth

(Optional) Do you identify as:

Aboriginal
Torres Strait Islander
Both
Neither

(Optional) What is your cultural background?

Contact details

Mobile number*

Phone during work hours (if different to mobile)

Email*

Address

Street Address Address Line 2 City State Postcode

Are you of diverse gender, diverse sexuality, or intersex status? e.g. LGBTIQA+ or similar

Yes
No
Unsure
Prefer not to say

Identifying as LGBTIQA+ is a requirement of some peer-based volunteer roles

Application details

Why do you wish to volunteer for Twenty10 incorporating GLCS NSW?

What skills, knowledge and personal attributes would you bring?

Are there any tasks, situations or issues that could relate to volunteering here that you feel would not be a good fit for you, or that you might find challenging or triggering?

Have you ever done volunteer work before?

If yes, please give brief details

Occupation/s (current or previous)

Languages spoken

Do you hold any of the following qualifications?

Tick all that apply

Current First Aid Certificate
Certificate IV Training & Assessment
Qualification in Counselling, Psychology, Social Work, Community Services or similar
Any other qualifications you think might be relevant
Any prior experience in counselling or other support role (either paid or volunteer)

Expiry date

Date completed

Please specify

Briefly specify role / key duties and length of time in role/s

Which volunteer role/s are you applying for?

Drop In Volunteer (must be 26 years old or over)
Young People's Groups (must be 26 years old or over)
Adult (18+) Groups Volunteer
Telephone Counselling
Administration / Project Volunteer
Practical Skills Volunteer
Board Member

If you have particular skills or expertise you wish to offer as a volunteer, please list key area/s here

When during the week would you be available to volunteer?

Tick all that apply

Weekdays (daytimes)
Weekdays (evenings
Weekends (daytimes)
Weekends (evenings)

Any specifications / which days available

How much time can you give?

Weekly/Monthly

Where did you hear about us and our volunteer program?

Is there anything else you would like us to know?

Declaration*

I understand that submitting this application is not an automatic guarantee of being invited to volunteer at Twenty10 incorporating GLCS NSW.
I understand that I would be required to abide by the Twenty10 incorporating GLCS NSW Code of Values and Ethics while volunteering.
I understand that volunteering would require me to have or obtain a current NSW Working With Children Check Clearance.
By ticking this box, I digitally sign this application to volunteer with Twenty10 incorporating GLCS NSW.

Register your interest in volunteering for us!

Twenty10 inc GLCS NSW

Application for a volunteer position

About you

Contact details

Application details