volunteer Salutation: First Name: Last Name: Address (# and Street): City: State: Post Code: Phone: Phone (Mobile): Email: Motivation for Volunteering Availability Monday MorningsMonday AfternoonsTuesday MorningsTuesday AfternoonsWednesday MorningsWednesday AfternoonsThursday MorningsThursday AfternoonsFriday MorningsFriday AfternoonsSaturday MorningsSaturday AfternoonsSunday MorningsSunday AfternoonsMultiple / Anytime / Other (Let’s chat!) Interests Administration (Busselton)Administration tasks (Remote, at your place)Local Community ProjectsLocal Ride Coordination TeamLocal Ride Coordinator (Lets chat!)Other (let’s chat) Skills and Qualifications Previous Volunteer Experience Agreement and Signature By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. Equal Opportunity Statement It is the policy of Black Dog Ride Australia to provide equal opportunities to all, without regard to race, colour, religion, national origin, gender identity, sexual preferences, age, or disability.