Thanks for deciding to support our project.
Nickname
*
Title
First Name
*
Last Name
*
Organisation
On behalf of this Organisation
Email
*
Phone Number
Mobile
Date of Birth
Suburb
Please select your suburb
City
Country
Country
Search for your address
*
Search for your address
*
Address
*
Address 2
Suburb
City
Post Code
*
State/Region
Region
What area would you most like to volunteer in? (i.e.your first preference)
*
Volunteering as a Visitor (to do this you must be a NZ Citizen or Permanent Resident)
Volunteering as a Walking Companion
Phone Friend
Connect social connection events
Other
Any others areas you might like to help with? (optional)
Walking Service
Visiting Service
Connect social connection events
Phone Friend
It is our policy that all volunteers and staff undergo a Police Check. Do you consent to Age Concern Wellington undertaking a Police Check?
*
Yes
No
*
Denotes mandatory field
View Terms and Conditions
Please confirm if you are over the age of 18.
*
18+
Please confirm your residency status
*
NZ Citizen
Permanent Resident
Other
If you selected 'Other' for your residency status, please provide further information:
Submit
Powered by vega.works
Just a few last questions
Yes
No
Yes
No
Yes
No
First name
Last name
Email