Application for a Volunteer Position - New England RegionPlease complete our online Application Form. When you are finished, click the "Submit My Application" button at the bottom of the page. All information provided will be treated confidentially. 1. Your Name 2. Your Email 3. Contact Phone Number 4. Your Address 5. Your Date of Birth 6. Where are you located?New England Region 7. Qualifications/Current Studies (If none simply write 'nil') 8. Work and Volunteer Experience (If none simply write 'nil') 9. Skills/Areas of Interest 10. How long do you plan to volunteer? 6 Months1 Year2 YearsOngoing 11. Availability to volunteer (more than one can be selected)MondayTuesdayWednesdayThursdayFridaySaturdaySunday What time(s) of the day are you available? 12. Do you have your own means of transportYesNo 13. Working with Children and Police Checks A legal requirement for volunteering with NSS is that volunteers need to undergo a National Police Check and a Working with Children Check. If you have undertaken either of these checks please provide us with the details, otherwise, write 'nil' and we will arrange the checks at no cost to you. 14. Do you speak/use other languages?YesNo If you answered 'Yes' for the question above, indicate which language(s) and your level of expertise. 15.What is the area of volunteering you are mainly interested in?. Volunteering for Homework CentresVolunteering for PlaygroupsVolunteering for Broadband for SeniorsVolunteering for Community Visitors SchemeVolunteering for Adult LiteracyVolunteering for Citizenship PreparationVolunteering for Driving SupervisionVolunteering for Companionship SupportVolunteering for Event Support 16. Other than your main volunteering interest, are there any other volunteering activities you are interested in (more than one can be selected). Volunteering for Homework CentresVolunteering for PlaygroupsVolunteering for Broadband for SeniorsVolunteering for Community Visitors SchemeVolunteering for Adult LiteracyVolunteering for Citizenship PreparationVolunteering for Driving SupervisionVolunteering for Companionship SupportVolunteering for Event Support 17. Do you have any medical conditions or circumstances that would affect the sort of volunteer work you would choose?YesNo If you answered 'Yes', please provide details. 18. How did you hear about our service? 19. Why do you wish to volunteer? 20. What would you like to gain from volunteering? 21. Please provide the name and contact details for two referees. Referee 1 Name Address Contact Phone Number(s) Relationship to you Referee 2 Name Address Contact Phone Number(s) Relationship to you