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Address: 4G Brook Street, Parkvale Tauranga 3112
Email: office@taurangafoodbank.co.nz
Phone: 07 578 9888

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1Personal Details

2Volunteering

3Driver Insurance

4Safety & Security

5Submit

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Personal Details

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Volunteering

What days are you available to volunteer?*

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Monday

Tuesday

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Would you like a permanent day or to be on-call?*

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Notes

Would you like to work on-site or as a van driver?*

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Driver

Both / no preference

Why have you decided to volunteer at the Tauranga Community Food Bank?*

Please share a brief history of your background*

Driver Insurance

Answer the following questions if you would like to be a van driver:

This information is required by State Insurance and will not be shared with anyone else.

In the last 5 years have you had any accidents or losses involving damage to or theft of a vehicle?*

Yes

Please provide details*

In the last 5 years have you had any license cancelled or suspended or had any special conditions imposed?*

Yes

Please provide details*

In the last 5 years have you had any driving offenses or traffic infringements excluding parking offenses?*

Yes

Please provide details*

In the last 5 years have you had any insurance refused or cancelled, renewal not offered, claim refused or any special conditions imposed?*

Yes

Please provide details*

In the last 7 years have you been convicted of a criminal offense relating to fraud, theft or burglary, arson, or criminal or wilful damage?*

Yes

Please provide details*

If you answered "yes" for any of the above questions, we ask that dates and offense details be provided. For example, if it is a speeding fine, how many km's over the limit, what the fine amount was if known, and the penalty (fine, demerits, suspension).

Driver's License Number*

Safety & Security

Have you been convicted (or currently involved with an investigation) of any criminal offense or serious traffic offense (other thank parking fines)?*

Yes

Do you give consent for Tauranga Food Bank to run a police check?*

Yes

Do you have a current New Zealand driver's license?*

Yes

Are you able to drive a manual van?*

Yes

Do you have any health concerns that Tauranga Food Bank need to be aware of?*

Yes

Please describe your health concerns*

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Accept Terms*

I confirm that the above information I have provided is correct and that I will only use the van as instructed by the Tauranga Community Food Bank Staff and Trustees.

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We are happy to arrange for someone from the foodbank to come and talk to your teams. Please complete the form and we will be in touch.

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