2018 Raise Mentor Application Form
Personal Information provided on this form will be handled in a manner consistent with applicable Privacy Laws. Raise Foundation Privacy Policy can be found at www.raise.org.au
First Name
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Surname
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If you go by two Surnames please enter the other one here.
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I'm joining Raise as a:
Date of Birth
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Gender
Street Address
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Suburb
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State
Postcode
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Mobile
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Email
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Emergency Contact Name
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Emergency Phone
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Emergency contact relationship
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How did you learn about Raise Foundation?
If you were referred by a Raise Mentor please let us know about them so we can thank them.
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Working with children check number
(If you don't have one we will send you information on how to get one)
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Please indicate the days of the week you are available.
I would like to be added to the email and newsletter list to receive general information about Raise Foundation.
I would like to receive information regarding my application and subsequent program specific information.
Thank you for deciding to volunteer with Raise Foundation, we really value your support. You will receive a confirmation email shortly.
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