Lifeline Store Volunteers

Name *

First Name

Last Name

Date

MM

DD

YYYY

Days of Interest *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Preferred shift *

Morning

Afternoon

Either

Do you have a current Police check *

We can assist you if needed to acquire this.

Yes

No

Do you have a current Working with children *

We can assist you if needed to acquire this

Yes

No

When would you like to commence

MM

DD

YYYY