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| General details |
| Organisation name:* | | |
| Branch/project: | | if applicable |
| Physical address* | |
| Mailing address | |
| Website: | | |
| Office hours | |
| A/Hours: | | |
| Aim / Mission of organisation* | |
| Contact details |
| Contact name: | | |
| Phone (inc ext):* | | |
| Fax: | | |
| Email:* | | this email address will be the primary contact for any correspondence regarding WVC Services/volunteer referrals, etc |
| Mobile: | | |
| Key personnel details |
| Board President/Chairperson |
| Name: | | |
| Phone: | | |
| Email: | | |
| Executive Director/CEO/Manager |
| Name: | | |
| Phone: | | |
| Email: | | |
| Person Responsible for Volunteers |
| Name:* | | |
| Phone:* | | |
| Email:* | | |
| How much time is spent on this role?: | 0-15% 16-25% 26-50% 51-100% | |
| Is this person paid: | Yes No | |
| Full time/Part time: | Full time Part time | |
| Hours: | | |
| Are there any KPIS for this role in their job description: | Yes No | KPI - key performance indicators |
| Is this role part of another role: | Yes No | |
| If so what is the main role(s) for this person: | | |
| Organisation details |
| In which local area(s) of the regions does your organisation offer services? Please tick as many as appropriate. |
| Wairarapa | Select all | |
| Other | Select all | |
| What 'TYPE' of organisation are you? (please mark no more than two) |
| Types:* | | |
| How many paid staff are currently working in your organisation |
| Full time: | | |
| Part time: | | |
| How many volunteers are currently working in your organisation |
| Governance / Committee: | | |
| Service / Delivery: | | |
| Other: | | |
| Do you have disability access/toilet: | Yes No | |
| As part of your volunteer - involving programme do you ... |
Have funds budgeted for your programme? (e.g. for recruitment, training, supervision, recognition, etc): | Yes No | |
| Have policies for volunteer involvement in your organisation?: | Yes No | |
| Have risk management policies for colunteer involvement?: | Yes No | |
| Provide a written role description of duties?: | Yes No | |
| Conduct a formal interview: | Yes No | |
| Provide orientation training: | Yes No | |
| Provide supervision for your volunteers: | Yes No | |
| Evaluate the volunteer's performance: | Yes No | |
| Review your volunteer programme's including role descrpitions annually: | Yes No | |
| Have insurance cover for your volunteers: | Yes No | |
| Reimburse volunteer expenses: | Yes No | for example: bus fares, car parking, child care, petrol |
| If yes please specify:: | | |
| Volunteer placements |
| Can WVC give your organisation details to people who are undertaking court enforced community service?: | Yes No | Please note: these potential volunteers would not be formal referrals from the Wairarapa Volunteer Centre, and would not be registered as volunteers or referrals with us, but provided a list of organisations who have indicated they are willing to consider them in their current circumstances. |
| What are the benefits / rewards for volunteers working for your organisation? Why should volunteers choose to offer their skills/time/energy to your organisation? |
| Benefits/rewards | |
| What types of recognition [and when] do you offer your volunteers? |
| Types | |
| Charities Commission Registration Number: | | (Please note that from the 1st of July 2008 your organisation is required to be registered with the Charities Commission if you want to retain your charitable status. If you are not already registered please visit www.charities.govt.nz or phone 0508 242 748 for further information) |
| When does your financial year end: | Change date | |
| Financial Year Income: |
Under $200,000
Over $200,000
Other
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| Other * | | |
| Membership Fee: | | |
| Other comments | |