First name: *

Family name:

Email: *

Address:

Suburb:

City:

Postcode:

Phone 1:

Phone 2:

The following questions are required for your registration on Volunteer Now. We would be grateful for the information that you give us. This data will be used by staff members of Volunteering New Zealand and Volunteer Centres for statistical purposes only and will be kept confidential and stored in accordance with the Privacy Act. Your contribution to the statistics will assist in monitoring trends in volunteering in New Zealand.

Age Band:
Under 20
20-24
25-29
30-39
40-49
50-59
60-64
65 and over

Labour Force status:
Full-time paid employment
Part-time paid employment
Not in paid employment by choice
Seeking employment/unemployed
Retired
Student
Self Employed
Visitor
Benefit/Income assisted

Gender:
Male
Female

Please state your ethnic origin:
NZ European/Pakeha
Maori
Pacific
Asian
African
Other European
Other

What is your first language?
English
Maori
Sign
Other

Refugee/Recent Migrant:
Yes
No

Preferred method of contact:
Phone 1
Phone 2
E-mail