Wairarapa volunteer individual registration form: volunteer programme by region

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Contact details

Full name (as on passport)

Preferred name

Phone

Mobile

Address

Personal details

Date of birth

Country of residence

Emergency contact

Contact name

Contact phone number

For international volunteers, add a New Zealand contact if available:

Contact name

Contact number

Licences/certificates

I hold the following licenses and/or certificates:

Current NZ/international Drivers licence Chainsaw ATV/quadbike First Aid/Outdoor First Aid Growsafe Controlled substances Firearms Other (list below)

Availability

Availability Long term projects Weekends Weekdays One-off events Anytime Other (please specify)

Other availability

Preferred roles

My preferred type of volunteer work would be:

Main reasons for wanting to volunteer Help conservation Get work experience Visit conservation areas Learn new skills Meet people Learn about conservation Other (please specify)

Other reasons

Preferred work environment Work well independently As a team Both

Relevant skills and experience

Previous experience

My previous conservation volunteering experience is: With Department of Conservation (list previous dates and place below) With other conservation or environmental organisations

Please list project(s)

Fitness

Volunteer activities span a range of fitness levels. Some activities may be specific in their requirements (as outlined in the task description).

My fitness level is: Low - I can easily walk up to 2 hours over flat ground Medium - I can comfortably walk with 5 kg pack up to 4 hours over uneven ground High - I am capable of walking with 10 kg pack up to 6 hours over uneven ground Very high - I am experienced at walking consecutive days with 10+ kg pack over steep, rough terrain

Medical conditions

For my own health and safety, the following pre-existing medical conditions, allergies or past injuries and special dietary needs are for DOC to note.

Enter if applicable:

Do you give consent to have your medical information shared with your nominated emergency contact? Yes No

If DOC is unable to offer me a volunteer activity, I am happy for my details to be shared with other conservation groups if they need volunteers.

Yes No