SVA COVID-19 Volunteer Registration
Thank you for offering to be a volunteer to support people who may struggle with the pandemic.

This is a nationwide response. You can register here to volunteer in any part of the country. You do not need to be a "student."

Volunteers will be screened, trained and matched to support people living in our communities. Tasks may include: texting/ calling and generally staying in touch, running errands, picking up shopping, teaching online shopping, communicating news, and helping reduce anxiety by assisting people to continue their everyday activities.

Please note you need to list the name and phone number of someone who can act as a character reference for you at the end of this form.
Email address *
First name *
Your answer
Last name *
Your answer
Age *
Mobile phone number *
Your answer
Gender *
Ethnicity? *
Location (nearest city/town)? *
Which suburb are you in?
Your answer
If you are a student, please let us know which school, polytech or university you attend
Your answer
If you are a secondary school student, are you signed up to the SVA Service Award?
Do you speak any other languages? If so, please list all other languages that you are proficient in
Your answer
Would you prefer to volunteer remotely or in person?
Do you have a car and a drivers licence? *
What level of experience have you had in working with elderly people?
I have had no experience
I have significant experience
What level of experience have you had working with children (babysitting)?
I have had no experience
I have significant experience
What level of experience have you had in working with a person living with a disability?
I have had no experience
I have significant experience
Do you suspect that you have recently been in contact with someone who has COVID-19? *
Have you traveled outside New Zealand within the last 14 days? *
Have you had any of these symptoms in the last 14 days? *
Required
Are you currently in self-isolation? *
Name and phone number for a character reference [someone who knows you well who can verify you are of good character]. If you are an NZ Registered Teacher, please place your teacher registration number here instead of a reference. *
Your answer
Would you be able to assist in babysitting? *
You would be helping doctors and nurses who can't currently work because they have to look after their children
Next
Never submit passwords through Google Forms.
This form was created inside of Volunteer Army. Report Abuse