Name
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First Name
Last Name
Email
*
Confirm Email
*
Phone
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Age Group
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18-24
25-50
51-80
81+
Current occupation
*
Birth date (optional)
Where did you hear about us?
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Please list recent work experience and also any previous volunteering roles
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List any experience you think would be helpful in a volunteer position (work, volunteering, hobbies etc)
Medical conditions
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Have you had, or do you have, an existing medical condition which may impact your ability to perform the volunteer role? For example, loss of hearing, repetitive strain injuries, depression, arthritis.
Please answer yes or no. If yes, please provide more details:
Yes
No
Medical conditions: further information
Why are you interested in becoming a volunteer at Howick Historical Village?
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What sort of volunteer duties are you hoping to undertake?
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What are you expecting to gain from your volunteering experience at Howick Historical Village?
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What do you think you would enjoy most at Howick Historical Village?
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What strengths, personality or skills can you bring to the position?
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What role(s) would suit you the best?
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Special events
Gardening
Maintenance/Operations
What is your availability?
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Weekday (Monday - Friday between 10am-4pm)
Weekend (Saturday and Sunday between 10am-4pm)
Is there any other information about you that we should know?
*
Declaration
*
1. I understand and acknowledge I am not an employee of Howick Historical Village.
2. I undertake to follow procedures outlined in my training/orientation and to adhere to Howick Historical Village health and safety policies and procedures.
3. I agree to report any incident or injury, or any health and safety hazards which I may observe, as prescribed in the Howick Historical Village Health and Safety Protocols.
4. I undertake to follow all Howick Historical Village policies relevant to me being a volunteer.
5. I also agree that both during and after being a volunteer, I will keep confidential, and not use, divulge, or communicate to any person, any confidential information relating to Howick Historical Village, except as required by law.
6. I agree to be available (as indicated in this application form) and to abide by the specified dress code.
7. I declare that the information I have provided by completing this form is true and accurate.
Please note: Your data will be stored within the Howick Historical Village volunteer database and will have the same security protection as any HHV employee. The information which you supply will only be available to the person supervising your activities and Human Resource personnel. The exception to this would be in the case of emergency. You have the right to request access to, and amendment of, any personal information help by Howick Historical Village about you.
Yes
No