Espression of Interest Form

FirstName*

LastName*

Email*

Address

MobilePhone

DateOfBirth

Current Police Check Certificate
—Please choose an option—YesNo

Current Working With Children Check
—Please choose an option—YesNo

Driver’s Licence
—Please choose an option—YesNo

Occupation

Please list any qualifications you have

Church Affiliation

Emergency Contac Name

Emergency Contac Phone

Please tick the area/s where you would like to volunteer in:
CoachingMentoring (accompanying clients to appointments)Post Abortion SupportEducation & Community AwarenessSocial MediaEvents Management and FundraisingAdministrationManaging Donated Items (pickup, delivery, cleaning, repairing and sorting)Cleaning the centreMen’s support

Please tick the days you are available to volunteer:
MondayTuesdayWednesdayThursdayFriday

What times are you available?
AMPMAll Day

Why are you interested in volunteering at PH@B / Amber’s House?

Have you ever volunteered before?
—Please choose an option—YesNo

Please let us know where and in what capacity

Tell us how you think your life experience will benefit our organisation and clients

What are some of your personal attributes that you believe will benefit PH@B and its clients?

What interpersonal and personal skills do you have that will benefit our organisation and clients?

Please give a referee’s name and contact details

Name

Phone Number

Are you legally allowed to work or volunteer in Australia?
—Please choose an option—YesNo

Do you have any health conditions that we need to be aware of?
—Please choose an option—YesNo

Can we retain your application for future reference if no positions are available at the time of submission?
—Please choose an option—YesNo

Please leave this field empty.

By submitting this application, I acknowledge that I understand that PH@B / Amber’s House
is a life-affirming organisation.