Kaikoura Island I Motu Kaikoura
An open sanctuary promoting wilderness education, ecosystem restoration and public recreation on an offshore island.

Volunteer Application Form

 

Motu Kaikoura's Island ranger Clint Stannard works hard in making this operation a conservation success story assisted by his wife Jacinda.

Please read the ‘General Volunteer Information’ found here.

He will receive your application and get in touch. Thanks for your interest.

PERSONAL INFORMATION:
Name as on passport: *
Name as on passport:
Phone in NZ *
Phone in NZ
Date of birth: (dd/mm/yy) *
Date of birth: (dd/mm/yy)
Address in NZ
Address in NZ
Please supply an address in NZ if available.
Do you have any injuries? *
If yes, please describe any injuries you have that informs us of your work limitations. Thank you.
Please list any preexisting medical conditions, allergies or past injuries and special dietary needs for The Motu Kaikoura Trust to note.
(Approximate arrival and departure date)
(if yes please describe)
TRAINING/EXPERIENCE
Which (if any) of the following tasks do you feel you could assist with: *
If so what is the expiry and at what level License is it? Can you drive a manual vehicle?
If so at what level and what is the expiry date?
REASONS FOR VOLUNTEERING
REFERENCES
Please provide 2 referees, that we could contact to learn more about you
First Reference *
First Reference
Please list their phone number, organisation, email & how they know you?
Second Reference *
Second Reference
Please list their phone number, organisation, email & how they know you?
DECLARATION
By ticking the box below I declare that the information I have provided is a true and accurate representation of my skills. knowledge and experience. *
By accepting and submitting this form you confirm that you have read the 'General Volunteer Information' above and you grant permission to The Motu Kaikoura Trust to use the provided infomration as necessary.
Date
Date
Please fill in the date this form is submitted.
 
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