Application form: Young humanitarians coordinator

As part of the application process, you'll need:

The details of an emergency contact person.
The details for two people that we can phone to undertake a character reference check.
Your referees should not:
- be related to you or part of your extended family
- be your partner or spouse
- live at the same address as you.
If you are aged 16 or 17, you will also need the details of a parent/guardian.

Will you be able to dedicate 3 to 4 hours a week to this role?

Are you able to pass a police vetting check?

Title

Your first name

Your last name

Preferred to be known as

Date of birth

Ethnicity

Residential address

Suburb

Town/City

Postcode

Email address

Phone number

Availability

Please specify how often, or what days you are available to volunteer?

Emergency contact first name

Emergency contact last name

Emergency contact phone number

Emergency contact email address