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Marquee Crew Member Volunteer Application Form
Applicant name
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First name
Last name
Address
Address line 1
Address line 2
Address line 3
Address line 4
Town/Suburb
City
Postcode/Zip
Email address
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Mobile #
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Emergency Contact
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Name, relationship and phone number please
Date of Birth
Preferred contact method
Email
Text
Letter
Phone
Facebook
Slack
Cell
Do you have a Drivers Licence?
Do you have a valid First Aid Certificate?
No
Yes
First Aid Cert Date
Upload ID or any other files
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Reasons for wanting to volunteer with Cycling Without Age Napier:
Other ways you might contribute to CWA Napier?
Companion riding, Social media, admin, fund raising etc.
Do you have empathy, social and good communication skills?
Your empathy and social skills will be a huge asset when joining CWA Napier. Joyful and empathetic communications with our passengers can help create a great outing for them
Please provide any additional information that you think may be useful in volunteering with CWA Napier
Please indicate the activities for which you would like to volunteer.
Marquee crew member
Companion Rider
Social Media Assistance
Please indicate your preferred volunteering times.
none
Monday am
Monday pm
Tuesday am
Tuesday pm
Wednesday am
Wednesday pm
Thursday am
Thursday pm
Friday am
Friday pm
Saturdays
How did you learn about CWA Napier?
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Family told me
Seen or met others on their rides
Friend or others in my community
CWA Website
CWA Brochure
CoffeeNews
FaceBook
Podcast
Volunteering HB
Other
Please expand on "Other" if ticked above
By word of mouth, friends, passengers or ........?
Will you abide by Cycling Without Age Guiding Principles of:
1. Generosity.
Volunteers will be generous by the giving of their time freely to enable their passenger to enjoy the chance to feel the wind in their hair.
2. Slowness.
Slowness allows you to sense the environment and be present in the moment. It allows people you meet along the way to be curious and gain knowledge, because you make time to stop and talk.
3. Storytelling.
Older adults and those experiencing lonely journeys all have interesting stories to tell. Our volunteers will listen, engage and through their stories retain those special memories.
4. Relationships.
Our CWA Napier service crosses many layers of society and creates new relationships and inter-generational friendships between participants and volunteers.
5. Without Age.
Life evolves at all ages, young and old and can be thrilling, fun, sad, beautiful and meaningful. CWA Napier is about letting people age in a positive context.
Your Agreement to GUIDING PRINCIPLES
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No
Yes
The most powerful testimony for our service is in the words of our passengers:
“It is just so nice to be IN the neighbourhood, looking at everything up close.”
When asked how the rides made him feel, he answered “Free!”
As a marquee crew member you may decide not to stick around during the event, however, if you would like to have the opportunity to be a part of the event, please check if you agree you ..........
Feel comfortable assisting seniors in and out of the triobike? box
"Feel comfortable assisting mobility challenged people in and out of the triobike?
Do you have a mobile to use in case of an emergency?
Do you have any other associations/memberships and what makes you good marquee crew member?
Any medical/physical condition that may affect your ability to participate in CWA Napier?
*
Signature
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Please check the highlighted fields
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