OzHarvest Volunteer Application

Please complete the Volunteer Application below. A copy will be emailed to the nominated email address thereafter.

* Indicates a compulsory field.

Contact Details

* First Name

* Last Name

* Address Details

Street

City

State

Postal Code

OzHarvest Office

* Email address

* Confirm email address

* Gender

* Mobile Phone

Current Occupation

Current (or Last) Place of Work

* Date of Birth (DD-MM-YYYY)

* Emergency Contact Name

Emergency Contact Relationship

* Emergency Contact Number

* Do you have a valid Driver Licence?

Licence Issuing State

Driver Licence Number

Are you able to drive a Van?

Please note volunteer van drivers must be over 25, able to drive manual and have a clean driving licence. You will need to provide a certified copy of your Driving Record (at your own expense)

OzHarvest provides each active volunteer with a yellow OzHarvest T-shirt to wear at each volunteering activity you attend.

T-Shirt Size

* Where did you hear about OzHarvest?

Do you have any previous volunteer experience?

If yes, please share with us the type of volunteer activities you have been involved in

Please outline any skills or expertise that you think would be useful as an OzHarvest volunteer

* Do you have any medical conditions or health issues that you think may impact your ability to safely perform any roles as an OzHarvest Volunteer?

Please note that a reasonable level of fitness is required to ride the van to pick-up and deliver food. If yes, please give details :

Please provide details of 1 reference (family members/people who live at your residence cannot act as a reference. Professional references are preferred where possible ie: employer, colleague, business contact, teacher, etc.) * Reference
* Name

* Relationship

* Phone Number

Driver Licence and Driving History Details:
Full Name on Licence
Address on Licence
Driver Licence Number	Class of Licence
Licence Issued At
Licence Issued On (DD-MM-YYYY)
Current To (DD-MM-YYYY)
If you held a licence in another country prior to obtaining a licence in Australia, please tell us:
Country
Year Issued
Have you ever:
(a) been fined or convicted of speeding or other traffic offences (other than parking) within the last five year?
(b) had a driving licence endorsed, suspended or cancelled?
(c) had a proposal for insurance declined or cancelled or a renewal refused?
(e) had any accidents, fines or lodged a claim in connection with a motor vehicle where you were at fault in the last 5 years?
If you have answered yes to any of the above questions, please provide full details (including the outcome of any claims in respect of (e) above):
It is the right of OzHarvest to use the above information to determine if we believe you are a suitable candidate to drive vans. The information which you provide may be used by OzHarvest for the purposes of completing its Motor Vehicle Insurance Policy proposal and/or renewal. OzHarvest has a duty to disclose to its insurer all matters which are relevant to the insurer's decision to accept the risk of the insurance. If OzHarvest fails to comply with its duty of disclosure, the insurer may be entitled to reject a claim or cancel the policy of insurance. It is vital that you provide all relevant information to OzHarvest so that OzHarvest can discharge its duty. Failure to provide all relevant information could result in you becoming personally liable for damage caused as a result of your driving of an OzHarvest vehicle.
Is there anything else about your driving or medical history which you believe may be relevant to your role as an OzHarvest driver:
Driving / Medical History detail

OzHarvest Volunteer Application

Contact Details

Volunteer Information

OzHarvest Limited Volunteer Driver Application Form

Driver Licence and Driving History Details:

OzHarvest Volunteer Application Please complete the Volunteer Application below. A copy will be emailed to the nominated email address thereafter. * Indicates a compulsory field.

Contact Details
* First Name		* Last Name
* Address Details
Street
City
State
Postal Code
OzHarvest Office
* Email address
* Confirm email address
* Gender
* Mobile Phone
Current Occupation
Current (or Last) Place of Work
* Date of Birth (DD-MM-YYYY)
* Emergency Contact Name
Emergency Contact Relationship
* Emergency Contact Number
* Do you have a valid Driver Licence?
Licence Issuing State
Driver Licence Number
Are you able to drive a Van?
Please note volunteer van drivers must be over 25, able to drive manual and have a clean driving licence. You will need to provide a certified copy of your Driving Record (at your own expense)
OzHarvest provides each active volunteer with a yellow OzHarvest T-shirt to wear at each volunteering activity you attend.
T-Shirt Size
* Where did you hear about OzHarvest?
Do you have any previous volunteer experience?
If yes, please share with us the type of volunteer activities you have been involved in
Please outline any skills or expertise that you think would be useful as an OzHarvest volunteer
* Do you have any medical conditions or health issues that you think may impact your ability to safely perform any roles as an OzHarvest Volunteer?
Please note that a reasonable level of fitness is required to ride the van to pick-up and deliver food. If yes, please give details :
Please provide details of 1 reference (family members/people who live at your residence cannot act as a reference. Professional references are preferred where possible ie: employer, colleague, business contact, teacher, etc.) * Reference * Name
* Relationship
* Phone Number

Volunteer Induction Booklet
* I confirm that the information set out above is true and correct to the best of my knowledge, and that I have read and understood each of the questions in this form.
* By ticking this box, you agree to the Terms of Use and to your data being processed in accordance with the Privacy Policy of OzHarvest http:www.ozharvest.org/privacy-policy