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Volunteer Application Form
First name
*
Last name
*
Address
*
Phone
Mobile phone
Email
Please indicate which tasks you can help with
*
Administration/secretarial assistance
Collect shopping/prescriptions
Companionship/visiting
Computer/phone assistance
Driving - in Kawerau
Driving - out of town
Furniture moving
Handyman, odd jobs
KADAP newsletter delivery
KDC newsletter delivery
Light gardening
Meal delivery
Pet care
Phone tree
Pruning and garden clearing
Sewing
Welfare/support
What days are you usually available?
*
Any day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any additional information
Emergency contact name and number
I accept that KADAP will store my personal information in accordance with The Privacy Act 1993.
*
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