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Te Wao Nui
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Apply to volunteer
Apply to volunteer with WHF
Full name
*
Date of birth
*
e.g. 01/01/1984
Occupation
*
Phone number
*
Email address
*
Postal address (New Zealand)
*
Emergency Contact Name
*
Who should we call in an emergency?
Emergency contact number
*
Relationship to you
*
eg Mother, friend
Days you are available
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (Wellington only)
Sunday (Wellington only)
Times you are available
*
9am - 12pm
12 - 3pm
3 - 6pm (Wellington only)
6 - 9pm (Wellington only)
Please tell us where you would like to Volunteer
*
Wellington Hospital
Kenepuru Hospital
Hutt Hospital
Special Interests, Hobbies and Memberships
Other Volunteer Experience
Any health problems / physical limitations which might limit your ability to work as a volunteer
References
Reference one
Please provide referees that are outside your immediate family
Full name
*
Email
*
Phone
*
Capacity in which you know this reference
*
Reference two
Full name
*
Email
*
Phone
*
Capacity in which you know Reference Two
*
Declaration
*
I understand that my details will be forwarded for a police check and I will have to undergo a police check.
I understand the first month will be a probationary period.
I understand I will be required to agree to abide by the Foundation and Hospitals policies and principles relating to volunteers, before commencing work as a volunteer.
I confirm that either: 1) I have received two doses of the Pfizer/BioNTech Covid 19 vaccination and give my consent for WHF to access the CIR to obtain confirmation of my vaccination status from the Ministry of Health; or 2) I agree to be vaccinated with two doses of the Pfizer/BioNTech Covid 19 vaccination before commencing work as a volunteer.
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