Your Details

First Name *

Last Name *

Preferred name (if different)

Email Address *

Contact number *

Date of Birth *

Briefly describe your experience:

Please select an RDA SA Centre/s suitable to your location. *

RDA Jennibrook Farm – Pine Road, Woodcroft 5163 SARDA Mount Gambier - Sunnybrae Rd, MOUNT GAMBIER 5290 SARDA Northern Area - Corner Ryans and Whites Roads, GLOBE DERBY PARK 5110 SARDA O’Halloran Hill - Majors Rd, O'HALLORAN HILL 5158 SARDA Oakbank - Shillabeer Road, OAKBANK 5243 SARDA Port Lincoln - Proper Bay Road, TULKA 5607 SARDA Port Pirie - Anzac Road, PORT PIRIE 5540 SARDA Southern Fleurieu – Lippizzaner Drive, VICTOR HARBOR 5211 SARDA Yorke Peninsula - Wallaroo Road, KADINA 5554 SA

What 'other' duties can you offer as a volunteer?

Do you have any previous experience in working with horses or people with a disability? This is not compulsary as RDA SA provide regular ongoing training to all volunteers. *

YesNo

Please provide a brief description of relevant skills:

What days and times are you available to volunteer?

Note: Your preferred RDA SA Centre may not operate or require volunteer support 7 days a week.

Monday

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Tuesday

MorningAfternoon

Wednesday

MorningAfternoon

Thursday

MorningAfternoon

Friday

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Saturday

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Sunday

MorningAfternoon

Do you have any supporting documents that you would like to upload? Eg. resume, qualifications, certificates.

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Please describe 'other':

All RDA SA volunteers are required to hold a current Working with Children and NDIS Worker Screening Clearance. Instructions to obtain these will be provided upon submission of this form.

I have read and understood the Privacy Collection Notice *

Today's date: *

I'm Not a Robot *

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