VAHPA Campaign Organiser Registration

Question Title

* 1. Please enter your contact details

First Name

Family Name

Mobile

Email

Question Title

* 2. Please enter your course details

What course are you studying?

What year are you in?

Where are you studying?

Question Title

* 3. Availability
We understand that your availability may change from one semester to the next however, it would be good for us to get a snapshot of your current situation. Please indicate which days of the week you are currently available to work with VAHPA, bearing in mind that a lot of the work would be mid-afternoon to early evening.

Monday

Tuesday

Wednesday

Thursday

Friday

Question Title

* 4. Interests
The work will be primarily phone-based however, there may be other elements and we are keen to get a sense of your interest in these. Please indicate below your interest level is each.

	Very interested	Interested	Unsure	Not interested
Making calls to Allied Health Professionals	Making calls to Allied Health Professionals Very interested	Making calls to Allied Health Professionals Interested	Making calls to Allied Health Professionals Unsure	Making calls to Allied Health Professionals Not interested
Receiving calls from Allied Health Professionals	Receiving calls from Allied Health Professionals Very interested	Receiving calls from Allied Health Professionals Interested	Receiving calls from Allied Health Professionals Unsure	Receiving calls from Allied Health Professionals Not interested
Participating in workplace events e.g. information stalls	Participating in workplace events e.g. information stalls Very interested	Participating in workplace events e.g. information stalls Interested	Participating in workplace events e.g. information stalls Unsure	Participating in workplace events e.g. information stalls Not interested
Participating in workplace events e.g. information sessions	Participating in workplace events e.g. information sessions Very interested	Participating in workplace events e.g. information sessions Interested	Participating in workplace events e.g. information sessions Unsure	Participating in workplace events e.g. information sessions Not interested

Question Title

* 5. Please tell us about any current or past work experience you have had which you think might be relevant to this role.

Question Title

* 6. Is there anything else you'd like to tell us about?

Question Title

* 7. Do you have any questions?