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Personal Details
Date:
*
Title:
*
Mr
Mrs
Ms
Miss
Dr
Other
Other
First Name:
*
Surname:
*
Street Address:
*
Suburb:
*
State:
*
VIC
NSW
QLD
NT
WA
SA
TAS
Postcode:
*
Work phone:
*
Home Phone:
*
Mobile:
*
Fax:
Email:
*
Information
Member:
*
Yes
No
Interested in joining
Age group:
*
under 10
10 - 20
20 - 30
30 - 40
40 - 50
50 - 60
60+
Availabilty:
*
Weekdays 9am - 5pm
Weekdays after 5pm
Weekends 9am - 5pm
Weekends after 5pm
Other
Experience:
*
CV sent to our office - within next 24 hours
CV to be supplied
Police Check:
*
Working with Children
Yes - have it, will supply
No - don't have it
Areas of Interest
Events:
*
Weekends/School Holidays
Variety@Work Events
Radiothon (July)
Great Grand Final Luncheon (September)
Cup Eve Ball (November)
Bike Handover/Presentations - includes bike assembly (Nov/Dec)
Children's Christmas Party (December)
Are you interested in volunteering in the Variety Office?:
*
Yes
No
Thinking about it
Other Areas of Interest:
Please stipulate