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Multicultural Communities Council Gold Coast Volunteer Expression of Interest Form
Thank you for your interest in wanting to be part of our volunteer team!
To assist us with processing your interest please answer the following questions.
*
1.
Personal Details
(Required.)
Title and Full Name:
Preferred Name:
Address:
Suburb:
Region:
State:
Postal Code:
Email Address:
Mobile Number:
*
2.
A little more about you...
(Required.)
Date of Birth
(dd/mm/yyyy)
When would you be available to start volunteering with MCCGC?
(dd/mm/yyyy)
*
3.
Emergency Contact Details:
(Required.)
Full Name:
Relationship:
Mobile Number:
Best Alternative Contact Number:
*
4.
Medical Information: (Your Health and Well being is important to us)
(Required.)
Do you have any medical conditions that may impact your role?: Yes or No
If
Yes
, please advise so we know how best to support you?
List any known
Allergies
:
*
5.
Diversity and Inclusion Information:
(Required.)
What is your
Primary Language
?
What
languages
do you
fluently speak
?
What is your birth country?
Do you identify as
Aboriginal and or Torres Strait Islander
? (Yes or No)
Do you identify as
Culturally And Linguistically Diverse
? (Yes or No)
Do you identify as
Person with Disability
? (Yes or No)
Do you identify as
Lesbian, Gay, Bisexual, Transgender and Intersex
? (Yes or No)
6.
Your interest that could match that of our community
List any
Hobbies
:
List any
Interests
:
List any
Skills
that may be shared:
7.
Tell us more about you.
What attracted you to the organisation?
What would you like to gain from volunteering at MCCGC/CÜRA?
8.
Areas you would like to volunteer – You can select more than one
Community Visiting Scheme (Social support visits face to face - fortnightly)
I speak your language (Social connection over the phone - weekly)
Talking Circle ( Facilitating Groups with Senior Multicultural Women)
Other (please specify)
