Step 1

Personal Details

• Name *
• Address *
• State *
  Postcode
• Landline Number
  Mobile *
• Email *
• Country of birth
  Age *
  SexMaleFemale
• Immigration Status *Australian CitizenPermanent ResidentTemporary ResidentStudent VisaVisitor Visa
  Marital Status *MarriedSingleDivorcedWidow

• Availability

  No. Hours/Week

Volunteer Roles Interested

•  Administration Public Relations Web/Graphic Design Counselling Training/Management Community Education Fundraising Field Support Marketing/Promotion
• Do you volunteer anywhere else?Yes No 

Step 2

• Education and training

• Qualifications
  Name of institution

Employment history(Current or most recent)

• Currently EmployedStudentPart Time EmployedFull Time EmployedNot Employed, Looking for WorkNot Employed, NOT Looking for WorkRetiredDisabled, Not able to work
  Name of employer
  Job title

• Referees

  Please give name and contact details of person who will provide a reference for you e.g. current/previous employer, college tutor, family friend (but not a family member).

• Name
  Tel
• Email
  Relationship

Step 3

• Health & Security

• Do you have a disability or impairment?
  Yes No 
• Do you have a medical/psychiatric history that you feel is important for us to know about?
  Yes No 
• Have you been arrested, charged or convicted of a crime(s), or have any charges currently pending against you?
  Yes No 
• Do you have any issues against taking and using photographs to support Sikh Helpline?
  Yes No 
• If yes to any of the above, please explain

• Emergency Contact

• Name
  Tel
• Email
  Relationship

• Declaration

  I declare that, to the best of my knowledge, the information given on this form is correct. I understand that providing misleading or false information could make me liable for legal action. I give Sikh Helpline permission to contact my referees and obtain any information relating to my criminal history record by police checks.