Fill in this form to apply for a volunteer activity on Matiu/Somes Island.

DOC undertakes to collect, use and store information provided on this form according to the principles of the Privacy Act 1993 - see Privacy and Security

Volunteer activity

Activity I'm applying for

Contact details

Personal details

Emergency contact

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

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.

Do you give consent to have your medical information shared with your nominated emergency contact?


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:


Current licences/certificates held by me relevant to the volunteering activity I am applying for:

Main reason(s) for wanting to volunteer


Relevant skills and experience

Skills and experience I offer:
My previous conservation volunteering experience is:
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