Community Service Application Form

Are you over the age of 15 and in Year 10 or above? *

YesNo - Please do not continue application

Your details

First Name *

Last Name *

Postcode *

Contact telephone number *

Email Address *

Name of the school you attend or the organisation overseeing your placement. *

Please provide us with the name of your placement coordinator and their contact details. *

What date would you like your placement to begin? *

What date would you like your placement to end? *

Briefly explan why you would like to do community service at Whitehorse Manningham Libraries. *

How many hours of community service are you required to complete? *

Please provide us with any other information that we need to know in order to process your application. *

If you have accessibility requirements, please provide us with details below.