Please select which Social Support program you wish to volunteer in

Volunteers will be matched with recipients who share similar interests or background as a starting point for building an ongoing connection.

Please tell us why you would like to volunteer in Doncare's Social Support program

Are you involved with any local community groups, activities, church, service or club?

Please include any other information that may assist us to match you. For example: experience & knowledge with older people; cultural heritage; childhood; family; travel

Please indicate whether you are interested in being matched with someone who shares common interests. For instance, you may wish to be matched with a female or a male. Or perhaps someone who speaks the same language as you.

If yes, what type of volunteer work have you undertaken?

What date would you be available to commence volunteering?

EMERGENCY CONTACT DETAILS

Please provide contact details for people that we can contact in the event of an emergency. In doing so, you authorise Doncare to contact the people listed on your behalf in the event of an emergency.

Is there any medical issue or injury that could affect the type of volunteering you undertake?

Yes

Have you had any motor vehicle collisions in the past 12 months? If yes, please describe

Have you received any traffic infringements in the last 12 months? If yes, please describe

Can you make a commitment to volunteer for a minimum of 12 months?

Yes

I agree to abide by the policies and procedures adopted by Doncare Social Support for Seniors/Doncare Community Visitors Scheme. I understand that before I can undertake voluntary work, I must have successfully completed an orientation period and training

I declare that the information I have entered on this application form as I have answered is true and correct. I agree that I am willing to undergo a Police Check if required.

I understand and agree that if I wish to withdraw this authorisation it will be my responsibility to inform Doncare of this and if there is any issue that I am unsure of, I will ask for the issue to be explained to my satisfaction by Doncare staff.

Doncare

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YES, I want to volunteer in Social Support Groups

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YOUR DETAILS

Volunteers will be matched with recipients who share similar interests or background as a starting point for building an ongoing connection.

MATCHING PREFERENCES

PROFESSIONAL AND VOLUNTEERING EXPERIENCE

YOUR AVAILABILITY

EMERGENCY CONTACT DETAILS

Contact 1

Contact 2

PERSONAL DETAILS

REFERENCES

Reference 1

Reference 2

DECLARATION