Vinnies Van Volunteer Information Request
First Name:
..Surname: .Address:
. Postcode: ..
Home Phone:
Mobile Phone:Email Address:
..Date of Birth:
(Please Circle an option)
Frequency of Outings: Weekly/Fortnightly/Monthly/Every two months/Other
Night Available: Monday/Tuesday/Wednesday/Thursday/Friday/Saturday/Sunday
Do you wish to be on the Back-Up Team? YES/NO If YES What Night?
.Would you like to be a Driver (Automatic Hi-Ace Van)? YES/NO
If YES...
Licence Number:
. Licence Class: .Person to Contact in case of Emergency:
Name:
Address:
..Phone:
Have you any previous mobile food van experience? YES/NO
If yes, where & when?
Do you have a Current First Aid Certificate? YES/NO Expiry Date:
..I agree to abide by the terms outlined in the
Operation Manual Summary for Vinnies Van as amended current copy available in Vinnies Van.Signed:
.. Date: .All
information will be kept strictly confidential and is for Vinnies Van Use ONLY.