Volunteer Referral Form

Volunteer Referral Form

Thank you for your interest in volunteering for your community. By providing us with the following information, you will help us identify a position that suits your interests, skills, experience and availability. If we are able to make a successful referral for you, please note that there is no guarantee that you will be accepted by the agency you choose and that it is subject to further interview and screening procedures that will be carried out by your chosen agency. Thank you.

  • Contact and Background Details

  • MM slash DD slash YYYY
  • Your Experience, Skills & Abilities

  • Statistical Data:

    The following information is requested for statistical purposes.
  • Languages

  • Availability

    Please tick which days and times you are available to volunteer.
  • Your Volunteering Interests

    Please tick the options that MOST interest you.
  • Feedback

  • Authorisation

    I authorise this Volunteer Resource Centre to release information to member organisations in order to obtain a volunteer position and give consent to my details being entered into their combined services database to be used for volunteering related purposes and funding body statistical information and reporting.