Application form: Volunteer Breakfast Club Mentor

Home Application form: Volunteer Breakfast Club Mentor

Step - 1 Personal details
Step - 2 Background & Consent

Title

First name

Last name

Preferred to be known as

Date of birth

Ethnicity

Residential address

Suburb

Town/City

Postcode

Email address

Phone

Referee checks

Please provide the details of two people we can contact.

Reminder: your referees should not be related to you or part of your extended family, nor be your partner or spouse, nor live at the same address as you. For example, they could be your employer, professor, friend, or someone who knows you well.

Referee 1

Referee 1 first name

Referee 1 last name

Referee 1 phone number

Referee 1 email address

Referee 1 relationship to applicant

Referee 2

Referee 2 first name

Referee 2 last name

Referee 2 phone number

Referee 2 email address

Referee 2 relationship to applicant

What inspired you to apply to become a Red Cross volunteer?

Membership, Fundamental Principles and adhering to to our organisational policies

I agree to be enrolled as a member of the New Zealand Red Cross for the duration of my voluntary service.

I understand and agree to adhere to the Fundamental Principles of the Red Cross and Red Crescent Movement – humanity, impartiality, neutrality, independence, voluntary service, unity, and universality.

I agree to follow the New Zealand Red Cross Constitution and Regulations, comply with our Code of Conduct, and follow our policy on using Red Cross emblems.

Child Protection Statement of Commitment

I agree to comply with the Child Protection Statement of Commitment.

Privacy Statement

I have read the Privacy Statement.

Communications

I agree to receive information from time to time about the work of New Zealand Red Cross including how to donate. I understand I can unsubscribe at any time.