Volunteer Application Form

Kia Ora. Thank you for your interest in Volunteering with Blind Low Vision NZ. To enable us to understand your skills and offer you an appropriate role, please complete all details in this application form below  


Please enter the date you received either your second Covid-19 dose or an additional Covid-19 booster.

Your personal details

Your contact details

Your current residential address

Next of Kin

Please give full details of your next of kin in case of an emergency


Please give details of two referees who can be contacted (who have preferably known you for more than one year and are not family members). 
Reference One

Reference Two

Your Volunteering Preferences

Additional Information about you

Before you submit