Apply to volunteer - Wellington Hospitals Foundation

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 *

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.