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.

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* 1. Personal Details

Title and Full Name:

Preferred Name:

Address:

Suburb:

Region:

State:

Postal Code:

Email Address:

Mobile Number:

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* 2. A little more about you...

Date of Birth
(dd/mm/yyyy)

When would you be available to start volunteering with MCCGC?
(dd/mm/yyyy)

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* 3. Emergency Contact Details:

Full Name:

Relationship:

Mobile Number:

Best Alternative Contact Number:

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* 4. Medical Information: (Your Health and Well being is important to us)

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:

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* 5. Diversity and Inclusion Information:

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)

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* 6. Your interest that could match that of our community

List any Hobbies:

List any Interests:

List any Skills that may be shared:

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* 7. Tell us more about you.

What attracted you to the organisation?

What would you like to gain from volunteering at MCCGC/CÜRA?

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* 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)