SVA COVID-19 Volunteer Registration

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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 *

First name *

Last name *

Age *

Under 16

16-20

21-30

31-70

Mobile phone number *

Gender *

Ethnicity? *

Location (nearest city/town)? *

Auckland

Wellington

Christchurch

Dunedin

Other:

Which suburb are you in?

If you are a student, please let us know which school, polytech or university you attend

If you are a secondary school student, are you signed up to the SVA Service Award?

Yes

Clear selection

Do you speak any other languages? If so, please list all other languages that you are proficient in

Would you prefer to volunteer remotely or in person?

In person - I regularly wash my hands and keep good social distance

Remotely (via text or phone)

No preference

Clear selection

Do you have a car and a drivers licence? *

Yes

I have access to a car, but its not always available

What level of experience have you had in working with elderly people?

I have had no experience

I have significant experience

Clear selection

What level of experience have you had working with children (babysitting)?

I have had no experience

I have significant experience

Clear selection

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

Clear selection

Do you suspect that you have recently been in contact with someone who has COVID-19? *

Yes

Not sure

Have you traveled outside New Zealand within the last 14 days? *

Yes

Have you had any of these symptoms in the last 14 days? *

Fever greater than 38°C

Difficulty breathing

Cough

None of the above

Required

Are you currently in self-isolation? *

Yes

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. *

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

Yes

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