Name

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Date of Birth

Address

*

Phone (home)

Phone (work)

Mobile

Email Address

*

1. What kind of volunteer work would you like to do for Glengallan?
eg tour guiding,archives (collection, collation and document database entry), gardening, Homestead and grounds maintenance, reception, Glengallan Kitchen, Coffee Shop, other (describe)

2. Relevant work/professional experience, volunteer experience, training or formal qualifications

3. Are there any languages other than English that you speak fluently?

4. Do you have any medical condition that we should know about?

4. How often are you available? Weekly Fortnightly Other

5. Are you available weekends? Yes No

6. Are you available during school holidays? Yes No

7. Are you available on call? Yes No