Connector Expression of Interest

Thank you so much for your interest in Connector Volunteering! We ask these questions to better understand your background and what inspires you to volunteer. We appreciate you taking the time to answer these questions & look forward to being in touch soon!

First Name *

Last Name *

Email Address *

Phone number *

Address

Street addressStreet address line 2

Suburb

State

Postcode

Country

Are you a current volunteer with Proveda? *

YesNo

Gender Identity: *

FemaleMaleOtherI/They don't wish to disclose

Age Group *

Country of birth *

Indigenous Status *

IndigenousNon-IndigenousUnknown

Veteran Status *

VeteranNon-VeteranUnknown

Sexual Orientation *

Straight or heterosexualLesbian, gay or homosexualBisexual or pansexualAsexualQuestioningOtherNot statedPrefer not to say

Main Language Spoken *

Other Language(s) Spoken

Do you live with a disability? *

YesNoPrefer not to say

How IT savvy do you rate yourself? *

BasicIntermediateAdvanced

Do you have a current Criminal Record Check? *

YesNoUnsure

Criminal Record Check upload

Browse

If you don't have a Criminal Record Check would you be willing to obtain one? *

YesNo

Do you have a current NSW photo ID/licence with your current address? *

YesNo

Photo ID upload

Browse

Have you done volunteer work before? *

YesNo

Please give details of any previous volunteering *

What are you hoping to get out of Connector volunteering? *

Tell us about any interests or skills that might help when we find a good match for you. *

Have you experienced any significant loss in the last two years? *

YesNo

Please give details of any significant loss in the last two years *

Is there anything that might affect your participation in this program? *

YesNo

Please give details of anything that might affect your participation in this program? *

Are you looking to volunteer for a specific period of time or ongoing?

How much time do you have to commit weekly? *

How did you find out about our Connector program? *

Emergency contact name *

Emergency contact number *

Have you been a resident or citizen of another country after turning 16yrs of age? *

YesNo

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