Application to become a Herbarium Volunteer

1. Family Name:_______________________ Given Name:_______________________

2. Address:______________________________________________________________

3. Email address:_________________________________________________________

4. Telephone: Home: ____________________ Work: ____________________________

Mobile: ____________________

5. Age Group: Up to 18 ☐ 19-25 ☐ 26-35 ☐ 36-50 ☐ 51-65 ☐

66-75 ☐ 76+ ☐

6. Languages spoken:_____________________________________________________
______________________________________________________________________

7. Do you speak fluent English? Yes ☐ No ☐

Read: Yes ☐ No ☐
Write: Yes ☐ No ☐

8. Availability for Volunteer Work: please specify

Monday Tuesday Wednesday Thursday Friday

am ☐ am ☐ am ☐ am ☐ am ☐

pm ☐ pm ☐ pm ☐ pm ☐ pm ☐

9. What are your skills and previous work experience (paid/voluntary)?

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______________________________________________________________________

14 May 2018
Application to become a Herbarium Volunteer
Royal Botanic Gardens Victoria 1
10. Why would you like to volunteer at the National Herbarium of Victoria?

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______________________________________________________________________
______________________________________________________________________
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11. What are your interests and hobbies?

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11. Current employment status: Student ☐ Retired ☐ Unemployed ☐

Home Duties ☐ Employed Part Time ☐ Employed Full Time ☐
Other ☐ (please state) ___________________________________________________
______________________________________________________________________

12. How did you hear about the possibilities of volunteering at the Royal Botanic
Gardens Victoria?

Brochure ☐ Friend/Family ☐ Media ☐ Friends of RBGV ☐

RBGV website ☐
Other ☐ (please state) ___________________________________________________
______________________________________________________________________

13. Do you have any disability or medical condition which would affect your ability to
do certain types of work?

Yes ☐ No ☐
Please describe:
______________________________________________________________________
______________________________________________________________________

14. Are you on Workcover? Yes ☐ No ☐

14 May 2018
Application to become a Herbarium Volunteer
Royal Botanic Gardens Victoria 2
15. Is there any reason why you would be unsuited to some areas of voluntary work?

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Signature of Applicant: _____________________________________________________

Date: ___________________________________________

14 May 2018
Application to become a Herbarium Volunteer
Royal Botanic Gardens Victoria 3