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 Dubbo Gosford Goulburn Grafton Griffith Kempsey Maitland Manly Matraville Moree Muswellbrook Newcastle Orange Penrith Port Macquarie Singleton Tamworth Taree Tuncurry Forster Wagga Wollongong Woy Woy Wyong 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 I am available: * Weekdays 9am to 5pm Weekdays Afterhours 5pm to 10pm Weekends Method of communication What is your preferred method of communication? * Phone Email Either Employment Currently Employed? * Yes No Studying 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 If you are human, leave this field blank.