Volunteer Application Form

Name(Required)

Title First Last

Other Title

Preferred Name

Date(Required)

Please note: Volunteers must be a minimum of 16 years of age due to insurance & supervisory requirements

Email Address(Required)

Phone Number(Required)

Street Address(Required)

Street Address Address Line 2 City State Postcode

Postal Address

Street Address Address Line 2 City State Postcode

Emergency Contact Name(Required)

First Last

Relationship To You(Required)

Emergency Contact Phone Number(Required)

Which Lutheran Services Aged Care location do you wish to volunteer at?(Required)

Other Location

Have you visited the above Lutheran Services site?(Required)

Yes

No

Is this site within a manageable distance/travel time for you?(Required)

Yes, by personal vehicle

Yes, by public transport

No

Applicant Declaration

In place of your written signature, this form will be submitted with a digital time stamp as proof of integrity. A timestamp captures the date and time the form was submitted confirming that the contents of the document existed at a point in time and are unchanged.

I hereby apply for voluntary work with Lutheran Services. I agree to work within the organisation's mission, and comply with its policies, regulations, procedures and guidelines. Any gratuity I may receive on application for travelling, meals or other out-of-pocket expense is in no way considered a wage, hourly rate or any other form of payment for volunteer work.(Required)

I declare that the information provided is true and accurate.

I understand that I will be required to participate in a screening process. This may include an interview and probity checks (e.g. NDIS worker clearance).

I understand that I will be required to undertake compulsory training and a site induction if approved to volunteer at Lutheran Services.

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Volunteer Application Form

Volunteer Application

Parent/Guardian Consent

Applicant Declaration