Online Form - EVRC - Request for Volunteers Form

Agency Name*

Volunteer Coordinator*

Contact Number*

Email*

Service Focus*

Volunteer Position Name*

Number of volunteers required*

Type of role*

General VolunteeringSpecial EventEmergency Response

Short Description of Role (brief, catchy overview)*

Detailed Description (What will the volunteer be doing? Outline specific tasks, time commitments & any reimbursements offered).*

Physical Location of Role*

Urgent*

YesNo

Role Expiry Date (if there isn't one, write 'none')*

Suitable For*

Other (from question above):

Would you like information/assistance on how to adapt roles to be more inclusive?*

YesNo

Clearances / Licences Required for the Role*

Other (from question above):

Any further requirements for Volunteers to undertake this role?*

Training Provided by Agency?*

YesNo

Possible Restrictions*

Heavy LiftingWorking above shoulder heightExtended Standing TimeNone

Age Range (please check insurance restrictions)*

Working Environment*

AloneWith OthersAlone & With Others

Required Availability (Write days and times for each day)*

Work Categories*

Other (from question above):

Any notes or questions

Signature*

Date*

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