RYALT Admin volunteers - Membership Form
Kia Ora, Welcome to RYALT.
Contact Details
Name
Salutation
--None--
Mr.
Ms.
Mrs.
Dr.
Prof.
First Name
Last Name
Company
Title
Phone
Mobile
Email
Link to Facebook Messenger name:
Address Information
Address
Street
City
State/Province
Zip
Country
Next of Kin
Next of Kin Name
Next of Kin Mobile
Next of Kin Email Address
Next of of Kin Relationship:
--None--
Mother
Father
Partner
Daughter
Son
Grandparent
Other
What is the volunteer role you have offered to help with?
Volunteer Role
Are there any other volunteer roles that interest you?
Other volunteer tasks that interest you:
Devices
What device will you be using?
(On a mobile device please tap in the left hand box below to choose options. On Desktop, use CTRL/CMD-Click to choose multiple items)
Available
Computer
Chromebook
Tablet - android
Tablet - ipad
Mobile Phone
Other
Chosen
Has internet:
Has a headset or speakers
Has a mic
Has a webcam:
I would like access to Office 365
Preferred Times to Volunteer
When available?
(On a mobile device please tap in the left hand box below to choose options. On Desktop, use CTRL/CMD-Click to choose multiple items)
Available
Weekdays
Weeknights
Weekends
Chosen
Days available?
(On a mobile device please tap in the left hand box below to choose options. On Desktop, use CTRL/CMD-Click to choose multiple items)
Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Chosen
Times available?
(On a mobile device please tap in the left hand box below to choose options. On Desktop, use CTRL/CMD-Click to choose multiple items)
Available
Early morning 6-8
Mid morning 8-10
Late morning 10-12
Early afternoon 12-3
Late afternoon 3-5
Early evening 5-7
Evening 7-8
Chosen
Education, Employment and Experience
Current work:
Past Employment
Other Experience:
Highest NZ Qualification:
Other Qualification or Training:
Statistics
Date of Birth
Ethnicity
Available
European/Pakeha/Kiwi
Maori
Australian
Australian Aborigine
Asian
Indian
Samoan
Niuean
Fijian
Cook Islander
Hawaiian
Tokolean
Pasifika - other
Other
Unknown
NZ European
British
European - from Europe
Chosen
Gender Identity
--None--
Male
Female
Other
Diverse
Decline to Answer
If Maori, what Iwi?
Referees
Referee Name:
Referee Relationship:
Referee Email Address:
Referee Phone Number:
Referee 2 Name:
Referee 2 Relationship:
Referee 2 Email Address:
Referee 2 Phone Number:
Additional Information
How did you hear about us?
--None--
Current Student or Volunteer
REAP
Word of mouth
Local paper
Website
Library
Community Centre
Information Centre
CAB
School
Work and Income
Workbridge
ACC
Corrections and Courts
Employer
Television ad
Radio ad
Dairy NZ
Beef & Lamb
PITO
Te Pukenga
Facebook
Instagram
Twitter
Service Group
Volunteering Centre
Ministry of Pacific Peoples
Mayors Taskforce
Council
Other
Notes
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