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Volunteer Application Form

If you have any questions about the application process please contact the Customer Service Centre on 5760 2600 and ask for the Volunteer Development Coordinator.

Thank you for your interest in volunteering with the Benalla Rural City Council.

Volunteers – Making a Difference

First Name: * (required)

Surname: * (required)

Date of Birth: * (required)Date of Birth: * (required)

Open the calendar popup.

Gender: * (required)

Female

Male

Address: * (required)

Phone number: * (required)

Email:

Where did you hear about volunteering with Council? * (required)

Please provide a brief statement as to why you would like to become a volunteer with Council? * (required)

What is your employment status? * (required)

Studying

Working

Retired

Looking for work

What program are you applying to volunteer with? * (required)

Are you involved with other volunteer roles with Benalla Rural City Council? * (required)

Please list.

Emergency Contact Details

Name:

Relationship to you:

Phone number:

Availability

Please indicate your availability for volunteering. * (required)

Please specify certain days/times if applicable.

How often would you like to volunteer? * (required)

Skills and Knowledge

Have you any particular skills you would like to share or put to use? * (required)

If you have a resume feel free to attach a copy.

Do you speak any language other than English? * (required)

Yes

If yes, what language/s do you speak?

Do you have any of the following? * (required)

Own means of transport

Current car driver’s licence

Comprehensive car insurance

Current bus/truck licence

Current Police Check

Current Working with Children Check

If yes, please state expiry dates for each.

Pre-existing medical or health conditions

Do you have any pre-existing medical or health conditions that may affect the type of work you do as a volunteer? * (required)

Yes

If yes, please provide details of potential restrictions to work:

Security Check

Depending on the position you apply for, volunteers may be required to undertake a Police Check and/or Working With Children’s Check. As a volunteer, are you willing to complete a form which gives authority for these security checks to be completed if necessary? * (required)

Yes

Referee Details

Please provide two referees who can tell us about your work/volunteering history and skills. * (required)

Please provide their name, relationship to you, and contact number.

Volunteer Declaration

I hereby declare that the information in this application is true and correct. * (required)

Yes

I consent to my personal details being on the Benalla Rural City Council Volunteer Database. * (required)

Yes

I understand that my details will not be given to other parties outside of the Benalla Rural City Council. * (required)

Yes

Parent/guardian permission - If volunteer is less than 18 years of age parent/guardian permission is required.

Name of Parent/Guardian

If applicable

If you wish to attach any documents please do so here:

For example: Current resume, Copy of licence/s and or check/s, etc.

View form as a PDF(PDF, 362KB)

Privacy Notification

Benalla Rural City Council respects your privacy. Council will not use or disclose information about an individual other than for the primary purpose for which it was collected unless required or permitted to do so by law, if it is for a related purpose that the individual would reasonably expect, or if we have the individual’s consent to do so. If you want to see your personal data, modify your details, or if you received information from us you do not want in the future please contact the Privacy Information Officer on 5760 2600.