Volunteer at Narryna

Name *

First Name

Last Name

Preferred name

First Name

Last Name

Residential Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Postal Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of birth

MM

DD

YYYY

Emergency contact *

Please supply the name of someone we can contact in the event of an emergency

First Name

Last Name

Emergency contact address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name *

Referee 1

First Name

Last Name

Name

Referee 2

First Name

Last Name

Area of interest/preference *

Administration (assisting with work which may include transcribing of records or filing. Computer skills may be required)

Guiding (conducting guided tours. This may include guiding school groups & working in various locations)

Collections (Assisting with management and research of artefacts and specimens. Some existing skills or specialised knowledge may be required)

Gardening

Availability *

When are you able to volunteer. Please mark only the times you are available

Tuesday morning

Tuesday afternoon

Wednesday morning

Wednesday afternoon

Thursday morning

Thursday afternoon

Friday morning

Friday afternoon

Saturday morning

Saturday afternoon

How did you hear about us?

please mark the relevant box(es)

From an existing volunteer

From a staff member

General word of mouth

Volunteering Tasmania

Radio

Television

TMAG website

Other

Acknowledgement & agreement

Please tick those items you acknowledge & agree to

I authorise TMAG to undertake reference checking with the referees provided above about my work, conduct, experience and skills.

I authorise TMAG to undertake a regular national police check, including a ‘working with children’ check as part of this application.

I consent to the Department using my personal information for the purposes for which it has been provided and for summarised, general and factual reporting.

I consent to receiving emails advising me of volunteer opportunities and other events at TMAG.

I certify that the information provided above is true and correct.

Name

First Name

Last Name

Date

MM

DD

YYYY