Part A: Personal Information

Given Name

Part B: Background Information

Part A: References (Please include 3)

Part D: Acknowledgement

Due to the sensitive nature of this work, all volunteers are screened and interviewed. References will be contacted, and all volunteers must obtain a vulnerable sector check before beginning volunteer duties with Victim Services Wellington. Please note that any false information given on this application will prevent you from becoming a volunteer.

I certify that all the information provided is truthful and accurate. *
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