Region:
Dunedin Alexandra CromwellQueenstown Wanaka

Information about your Organisation

Name of the Organisation: *

Email Address: *

Street Address:

Telephone Number/s:

Fax Number:

Please provide contact details of your volunteer coordinator or person responsible for volunteer management in your organisation

Name:

Position:

Address (if different from above):

Telephone:

Best time to contact:

Do you have Charitable Status with IRD:
Yes
No

Are you registered with the Charities Commission:
Yes
No

ARE YOU:
An Incorporate Society
A Charitable Trust
A Government Department
Other

How long has your organisation been operating?

What is the mission statement of your organisation?

Do people who volunteer with your organisation need to adhere to a particular set of beliefs or values? If so please describe these beliefs or values, and explain what this might mean for the work volunteers will do:

What service do you provide or what work do you do?

Which sections of the community are major users of your services?

In what geographic area(s) of Dunedin do you provide services?

Does your organisation involve volunteers in Dunedin?
Yes
No

If YES, approximately how many:

Are funds budgeted for your Volunteer Programme?
Yes
No

In regard to volunteer support, do you provide:

An orientation process for volunteers to your organisation
Yes
No

Job Descriptions for all volunteers?
Yes
No

Interviews for all potential volunteers?
Yes
No

Ongoing supervision/support for volunteers?
Yes
No

Ongoing access for volunteers to support?
Yes
No

Training? (Please give details, including any costs and subsequent reimbursements to volunteers for this training)

Does your organisation provide training covering the Health and Safety Act, emergency procedures and safety issues?

Length of commitment you require from volunteers: e.g. preferably a year minimum

Screeing:

Do you carry out police checks on all volunteers?
Yes
No

If not, how do you screen potential volunteers?

Refund of out-of-pocket expenses? (Please give details e.g. transport, car/bus, car parking, meals)

Are the premises in which volunteers work accessible to people with physical disabilities (e.g. ramped access, wheelchair access to toilets, lift?)
Yes
No

What is the minimum age of volunteers that you would involve in your programme?

With assistance from Volunteering New Zealand, we are able to put shortened versions of volunteer job descriptions online, at the national volunteer website www.volunteernow.org.nz. We take our role of screening volunteers for registered organisations seriously, and so on the website we don’t display identifiable material about your organisation, but rather give generic information about the volunteer role and refer volunteers to make contact with Volunteering Otago via telephone or email, to set up a time for an interview. This is an extra service we are able to offer without charge, but if you would prefer your jobs NOT to be listed on the Volunteer Now website, please check this box.

I would prefer the centre NOT to list our jobs on the website

Volunteering Otago Release

a) Volunteering Otago will interview prospective volunteers and ascertain their suitability for volunteer work with your organisations (on the basis of the information your organisation has provided to us). Potentially suitable volunteers will be referred to your organisation

b) Evaluation, acceptance/rejection, training, placing and ongoing support and supervision for all volunteers are the responsibility of your organisation. Your organisation should ensure that it has adequate insurance to cover all activities in which the volunteer is engaged while working for your organisation. Volunteering Otago is hereby specifically released from all liability in respect of this volunteer and his/her volunteer work with your organisation.

c) By signing this statement, your organisation accepts responsibility for interviewing, screening and selecting volunteers for any eventualities which may arise in connection with that volunteer. Volunteering Otago is released from any claim, liability or demand which may arise as a result of the action or failure to act on the part of that volunteer.

Our organisation has read and understood the Volunteering Otago release form.

Organisation:

Signed:

Date:

Approved by Board/committee:

Date:

Thank you for filling in the form. Please do not hesitate to contact us with any enquiries.

VOLUNTEERING OTAGO
Volunteer Details

Organisation:

Contact Person:

Phone Number:

Job Title:

Job Description:

Job Specification:

Travel costs met?
Yes
No

Time requirements

Dress Code

Age Restrictions:
Yes
No

Any special conditions to note:

Volunteering Otago
Phone: 471 6206
E-mail: dvct@.ihug.co.nz
Address: Community House
283 – 301 Moray Place
Dunedin