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Library Volunteer Expression of Interest Form

All information is strictly confidential and will only be used for Hornsby Shire Library purposes.

Filling in this form does not automatically guarantee an offer of a voluntary position.

Fields marked with an asterisk (*) must be completed.

* Applicant Details

Title:

* Last Name:
* First Name:
Street:
Suburb:
Post Code:
Email:
* Phone:
        
Mobile:
* Date of birth (required for insurance):
        
* General Information

* Volunteer Work: Please select at least one option.

If you are interested in volunteering as a Justice of the Peace please provide your registration number:

If you are interested in volunteering as part of the Duke of Edinburgh Scheme please provide your school name:

Please indicate the level of the scheme you are attempting:

* Availability

Please tick the days and times you would prefer to volunteer:
* Which library are you willing to volunteer at?:

Do you have any particular skills/hobbies which will be of particular use in your volunteer work?:

Do you speak a language, other than English, that you would like us to be aware of?:  
Please provide details of any medical condition/s you have which may affect your ability to volunteer.:
* Emergency Contact Details

Emergency contact title:

* Last Name:
* First Name:
Street:
Suburb:
Postcode:
Email:
* Phone:
        
Mobile:
Relationship:              
Referee Details (not related to you)
Not required for Duke of Edinburgh applicants

Last Name:
First Name:
Email:
Phone:        
Mobile:
Signature:
Date: