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Come Out Volunteer Registration Form

Please print out this page and fill in. Please send the completed form to:

Gill Althorp
Come Out 2005
PO Box 569
North Adelaide SA 5006

If you have any questions, please contact Gill or Karen via 8267 6920 or karen05@comeout.on.net.


PERSONAL DETAILS

First Name______________________________ Surname______________________
Address
_______________________________________ Postcode ________________
Phone
(H)_________________ (W)___________________(M) ___________________
Email
________________________________________________________________

Age
 15-17yrs
 18-25yrs
 26-35yrs
 36-50yrs
 50yrs+

Current Drivers Licence Y/N (circle)

Employment Status
 Student
 F/T Employment
 P/T Employment
 Seeking Employment

Emergency contact Details
Name (& Relationship)________________________________________Phone_______________

When are you available to volunteer? (Please tick)

DAY

9-12am

12-3pm

3-6pm

6-8pm

Monday

 

 

 

 

Tuesday

 

 

 

 

Wednesday

 

 

 

 

Thursday

 

 

 

 

Friday

 

 

 

 

Saturday

 

 

 

 

Sunday

 

 

 

 

Experience and Skills

Please tick areas that you have skills/experience in:
(These will be matched with tasks/positions available)

 Administration
 Assisting in Workshops
 Distribution
 Gallery Sitting and Gallery Set Up
 Front of House
 Marketing
 Marshalling at Special Events/Parades
 Event Management
 Other ________________________________________________________
______________________________________________________________

SIGNATURE
I understand that I will receive no financial remuneration in exchange for my volunteer work

Signed_______________________ Date___ / ___ / ___

Please return this completed form to:

Gill Althorp
Come Out 2005
PO Box 569
North Adelaide SA 5006

For more information about Come Out visit our website: www.comeout.on.net

THANK YOU FOR YOUR INTEREST!

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