Volunteer Online Application Form Volunteer Online Application Form Which one of our office locations is closest to where you live? * Albury Batemans Bay Bathurst Blacktown Bourke Broken Hill Campbelltown Coffs Harbour Cooma Goulburn Grafton Griffith Kempsey Moree Muswellbrook Newcastle Nowra Penrith Queanbeyan Singleton Tamworth Taree Tuncurry Forster Tweed Heads Wagga Wollongong Yass Personal Details First name * Surname * Home Address * Home Address Home Address Home Address City City State State Postcode Postcode Mobile Phone * Home Phone * Email * I have access to a: Motor Vehicle Mobile Phone Computer Availability Monday 9am to 5pm 5pm to 10pm Tuesday 9am to 5pm 5pm to 10pm Wednesday 9am to 5pm 5pm to 10pm Thursday 9am to 5pm 5pm to 10pm Friday 9am to 5pm 5pm to 10pm Saturday 9am to 5pm 5pm to 10pm Sunday 9am to 5pm 5pm to 10pm Employment Currently Employed? * Yes Looking for Work Studying Retired Stay at Home Parent Skills and Experience Tell us about a time when you have helped someone get something they needed or that they had a right to? This could be in a job or helping a friend of family member. * Referees After a successful interview we would like to contact two references – please provide the details below for your referees. Please ensure they know that we may call them. 1. Full Name * Mobile Number * 2. Full Name * Mobile Number * Volunteer Role Commitment I understand that: I am applying for a volunteer role to support people with cognitive impairment and this includes victims, witnesses and suspects/defendants. * Yes No I will be required to sign a Volunteer Agreement and undertake a National Police Check and Working with Children Check for Volunteers. * Yes No My Criminal Record Check does not necessarily exclude me from a volunteering role. We will assess each criminal record on a case by case basis. * Yes No Training Requirements I understand that I will be required to undertake significant training program to enable me to do the role with confidence. Our training program is delivered using a mixture of online courses (Learning Management System), group video conference sessions (Zoom) and where possible face to face in your local community, this flexible allows you to do the majority of the training around your work, family and personal commitments. Submit
